Microsurgical testicular sperm extraction for testicular failure: the South African experience and first successful pregnancy.

Background: In men with non-obstructive azoospermia (NOA), biological fatherhood is only possibly by specialised microsurgical sperm retrieval techniques (micro-TESE), only recently introduced to South Africa. This study aimed to analyse the spectrum of causes of NOA and the outcomes of micro-TESE, including live births, following the use of this technique in South Africa.

Methods: This was a retrospective review of all micro-TESE cases performed in South Africa by a single surgeon from 2014 to 2018.