Novel methods to enhance surgical sperm retrieval: a systematic review
| Autor: | Iakov V. Efimenko, Eliyahu Kresch, Ranjith Ramasamy, Paul J. Rizk, Daniel R. Gonzalez |
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| Rok vydání: | 2021 |
| Předmět: |
Azoospermia
endocrine system Assisted reproductive technology In vitro fertilisation urogenital system business.industry Urology medicine.medical_treatment Obstructive azoospermia Review Article ultrasonography artificial intelligence Bioinformatics medicine.disease micro-TESE Sperm Intracytoplasmic sperm injection Testicular sperm extraction ORBEYE Sperm Retrieval medicine infertility business reproductive and urinary physiology |
| Zdroj: | Arab Journal of Urology article-version (VoR) Version of Record |
| ISSN: | 2090-598X |
| Popis: | Objectives: To explore the use of novel technologies in sperm retrieval in men with azoospermia due to a production defect. Methods: We performed a Preferred Reporting Items for Systemic Reviews and Meta-Analysis (PRISMA)-compliant systemic literature review for manuscripts focussed on novel sperm-retrieval methods. We identified 30 studies suitable for qualitative analysis. Results and Conclusions: We identified multiple new promising technologies, each with its own distinct set of benefits and limitations, to enhance chances of sperm retrieval; these include the use of multiphoton microscopy, Raman spectroscopy, and full-field optical coherence tomography during a microdissection-testicular sperm extraction procedure. ORBEYE and ultrasonography technologies can also serve to better visualise areas of sperm production. Finally, artificial intelligence technology can play a role in the identification of sperm and, perhaps, better-quality sperm for use with assisted reproduction. Abbreviations: AI: artificial intelligence; ANN: artificial neural network; ART: assisted reproductive technology; 3D: three-dimensional; DNN: deep neural networks; FFOCT: full-field optical coherence tomography; H&E: haematoxylin and eosin; ICSI: intracytoplasmic sperm injection; IVF: in vitro fertilisation; MESA: micro-epididymal sperm aspiration; MeSH: Medical Subject Heading; MPM: multiphoton microscopy; (N)OA: (non-)obstructive azoospermia; SCO: Sertoli cell-only syndrome; SRR: sperm retrieval rates; TESA: testicular sperm aspiration; (micro-)TESE: (microdissection-) testicular sperm extraction; (CE)US: (contrast-enhanced) ultrasonography |
| Databáze: | OpenAIRE |
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