Evidence map›Paper›PMID 38476958›Full record

ArticleReproductive medicine and biology

Micromapping testicular sperm extraction: A new technique for microscopic testicular sperm extraction in nonobstructive azoospermia.

Toshihiro Tai, Wakaba Miyamoto, Yuriko Fukuoka, Sena Shibasaki, Mizuho Takahashi, Noriyuki Okuyama, Hiromitsu Hattori, Ikue Ishikawa, Satoko Nagaura, Koki Yoshinaga and 6 more

Open access · goldAbstract read
In one paragraph

Article in Reproductive medicine and biology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Toshihiro TaiKyono ART Clinic Sendai Sendai Miyagi Japan.ORCID https://orcid.org/0000-0002-4069-3724
Wakaba MiyamotoKyono ART Clinic Sendai Sendai Miyagi Japan.
Yuriko FukuokaKyono ART Clinic Takanawa Tokyo Japan.
Sena ShibasakiKyono ART Clinic Sendai Sendai Miyagi Japan.
Mizuho TakahashiKyono ART Clinic Sendai Sendai Miyagi Japan.
Noriyuki OkuyamaKyono ART Clinic Takanawa Tokyo Japan.
Hiromitsu HattoriKyono ART Clinic Sendai Sendai Miyagi Japan.
Ikue IshikawaKyono ART Clinic Morioka Iwate Japan.ORCID https://orcid.org/0009-0009-7643-5792
Satoko NagauraKyono ART Clinic Sendai Sendai Miyagi Japan.
Koki YoshinagaKyono ART Clinic Takanawa Tokyo Japan.
Masae KoizumiKyono ART Clinic Sendai Sendai Miyagi Japan.
Tomoko HashimotoKyono ART Clinic Takanawa Tokyo Japan.
Mayumi ToyaKyono ART Clinic Sendai Sendai Miyagi Japan.
Jin KumagaiKyono ART Clinic Morioka Iwate Japan.
Hideki IgarashiKyono ART Clinic Sendai Sendai Miyagi Japan.ORCID https://orcid.org/0000-0002-3478-497X
Koichi KyonoKyono ART Clinic Sendai Sendai Miyagi Japan.ORCID https://orcid.org/0000-0001-5298-2964
Musashino Art University · JPIwate Museum of Art · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: In microscopic testicular sperm extraction (mTESE) for nonobstructive azoospermia (NOA), sperm can be recovered relatively easily in some cases, and mTESE may be retrospectively considered excessive. However, mTESE is routinely performed in the majority of NOA patients because of the difficulty in predicting tissue status. A minimally invasive and comprehensive sperm retrieval method that allows on-the-spot tissue assessment is needed. We have developed and evaluated a novel sperm retrieval technique for NOA called micromapping testicular sperm extraction (MMTSE). Methods: MMTSE involves dividing the testis into four sections and making multiple small needle holes in the tunica albuginea to extract seminiferous tubules and retrieve sperm. The sperm-positive group by MMTSE (Group I) underwent additional tissue collection (ATC) via a small incision, whereas the sperm-negative group by MMTSE (Group 0) underwent mTESE. Results: In total, 40 NOA participants underwent MMTSE. Group I included 15 patients and Group 0 included 25 patients. In Group 1, sperm were recovered from all patients by ATC. In Group 0, sperm were recovered in 4 of 25 cases using mTESE. Conclusions: MMTSE shows promise as a simple method that comprehensively searches testicular tissue and retrieves sperm using an appropriate method while minimizing patient burden.

Indexed as

azoospermiaICSImale infertilitytesticular sperm retrieval

Identifiers

PMID38476958
PMCPMC10927935
OpenAlexW4392718879

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.