this study predicts the factors of successful micro testicular sperm extraction in azoospermia patients in male infertility
primary outcomes: these factors were the age, testicular size, hormonal, evidence of varicocles and the out come of Micro\_TESE secondary outcomes: make good decision for Micro-TESE with low economic laboratory and radiology requirement As every failed microTESE-ICSI procedure exposes the couple to an emotional, financial burden and increase the incidence of complication such as bleeding, hematoma and testicular atrophy
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
300
dissection of the seminefrous tubules under microscope to extract sperms
Faculty of Medicine, South Valley University
Luxor, Qena Governorate, Egypt
Sperm Retrieval Success Rate and identification of Predictive Factors
Determine which preoperative factors are significantly associated with successful sperm retrieval. These may include: Serum Follicle-Stimulating Hormone (FSH) Levels: Elevated FSH levels have been linked to reduced sperm retrieval success. And patient Age and testicular size to reach the best one to predict the success rate
Time frame: 1st 1 year
Assess the success rates of ART procedures following sperm retrieval and complications
Assisted Reproductive Technology (ART) Outcomes Fertilization Rates: The percentage of oocytes successfully fertilized. Embryo Development: Quality and progression of embryos to the blastocyst stage. Clinical Pregnancy Rates: Confirmed pregnancies via ultrasound. Live Birth Rates: The ultimate success metric of ART procedures Complication Rates Monitor and document any complications arising from the sperm retrieval procedure, such as: Testicular Hematoma Infection Testicular Atrophy
Time frame: 2 years
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