Psychological and Pain Factors in Microsurgical Testicular Sperm Extraction (Micro-TESE) for Non-Obstructive Azoospermia: A Comparative Study of Successful and Unsuccessful Cases
Urology Journal,
Vol. 21 No. 06 (2024),
27 Azar 2024
,
Page 415-419
https://doi.org/10.22037/uj.v21i.8112
Abstract
Purpose: This study aimed to assess postoperative pain, depression, and anxiety levels in infertile men who
underwent microsurgical testicular sperm extraction (micro-TESE) for non-obstructive azoospermia (NOA) and
compare results between patients with successful and unsuccessful sperm retrieval.
Material and Methods: A total of 105 NOA patients participated, completing preoperative Beck Depression
Inventory (BDI) and Situational and Transient Anxiety Inventory (SAI and TAI) questionnaires. Postoperatively,
Visual Analog Scale (VAS) scores were recorded. Patients were categorized into primary and repeated micro-
TESE groups, and scale scores, operation duration, and collected tubule count were compared. The relationship
between micro-TESE outcomes, VAS scores, and additional analgesia needs was also examined.
Results: Successful sperm retrieval was achieved in 55.9% of patients. While BDI, SAI, and TAI scores showed
no significant intergroup differences, micro-TESE (-) patients exhibited significantly higher mean VAS scores (p
< 0.001). VAS scores positively correlated with BDI score, operation duration, and tubule count, while patient age
inversely correlated with micro-TESE results.
Conclusion: Infertility, azoospermia, and unsuccessful sperm retrieval impact psychogenic status and pain levels
in male patients. Additionally, a history of micro-TESE procedures and their outcomes elevate depression levels.
- MD-TESE
- non-obstructive azoospermia
- Infertility
- Depression
- Anxiety
How to Cite
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