Predictive Factors for Successful Testicular Biopsy in Azoospermia
DOI:
https://doi.org/10.62438/tunismed.v104i02.6530Keywords:
Testicular biopsy, Azoospermia, Predictive factors, FSH, SpermogramAbstract
Introduction: Testicular biopsy represents a crucial procedure in the management of non-obstructive azoospermia, though its success remains
variable. Identifying predictive factors for successful sperm retrieval is essential for patient selection.
Aim: To determine the clinical, hormonal and technical factors predictive of successful testicular biopsy in azoospermic patients
Methods: A retrospective analytical study was conducted over 5 years (2017-2021), including 28 patients. Comparative analysis was performed
between groups with successful (spermatozoa present) and failed biopsy.
Results: Significant predictive factors for successful biopsy included: testicular volume preservation (p=0.042), low FSH levels (p=0.002), low
estradiol levels (p=0.018), excretory azoospermia type (p=0.023), and unilateral surgical approach (p=0.005). Clinical varicocele and hydrocele
showed no significant correlation.
Conclusion: Our study identifies a predictive profile for testicular biopsy success, enabling better patient selection and surgical strategy optimization
in assisted reproductive technology.
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