AB128. The impact of hormonal factors on sperm motility improvement after subinguinal microsurgical varicocele

© Translational Andrology and Urology. All rights reserved. Transl Androl Urol, 2015;4(S1) www.amepc.org/tau consequently. The tubules larger than 300 μm were sampled for immediate table side touch print smear examination and the tissues were transferred to Bouin’s fixatives for further pathological examination. The whole procedure was videotaped for future review. The location of sperm-positive areas was recorded in operation note. The testis wound at tunica albuginea was closed using intra-tunical zipper suture with 6-0 Prolene. Results: Among the 152 patients, the mean sperm retrieval rate was 45.3%. If we included the patients with biopsyconfirmed hypospermatogenesis receiving only therapeutic mTESE, the overall sperm retrieval rate was about 61%. For the patients with positive results at diagnostic mTESE, the sperm retrieval rate at later therapeutic mTESE for ICSI cycle was 100%. For patients who had no sperm found at diagnostic mTESE, they were advised for other options including using donor sperm or adoption. Conclusions: Through this management protocol, up to 55% of infertile couple might avoid the unnecessary ovulation cycle, egg retrieval and the related risks and expenses. The only disadvantage was the necessity for repeat mTESE procedure for infertile men although the subsequent mTESE was significantly time saving, focusoriented and strait forward.