Does enzymatic digestion plus mechanical searching improve testicular sperm retrieval in non-obstructive azoospermia cases?
Combination of conventional TESE and enzymatic digestion is an effective method to recover spermatozoa suitable for ICSI. The benefit of the mincing combined with enzyme to sperm retrieval for NOA is firstly to shorten the mechanical searching time, thus minimizing further cellular damage as well as exposure to external conditions, and secondly to reduce the number of cases with sperm recovery failures.
In ambulatory care settings, both provider behaviors and system modifications may lead to more honest disclosure of suicidal thoughts.