{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T21:15:57Z","timestamp":1778102157580,"version":"3.51.4"},"reference-count":0,"publisher":"Tunisian Society of Medical Sciences","issue":"02","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tunis Med"],"abstract":"<jats:p>Introduction: La biopsie testiculaire constitue un acte crucial dans la prise en charge des azoospermies non obstructives, mais son succ\u00e8s reste variable. L'identification des facteurs pr\u00e9dictifs de r\u00e9ussite s'av\u00e8re essentielle pour la s\u00e9lection des patients.Objectif: D\u00e9terminer les facteurs cliniques, hormonaux et techniques pr\u00e9dictifs du succ\u00e8s de la biopsie testiculaire chez les patients azoospermiques.M\u00e9thodes: Une \u00e9tude r\u00e9trospective analytique a \u00e9t\u00e9 men\u00e9e sur 5 ans (2017-2021), incluant 28 patients. Une analyse comparative a \u00e9t\u00e9 r\u00e9alis\u00e9eentre les groupes avec biopsie r\u00e9ussie (spermatozo\u00efdes pr\u00e9sents) et \u00e9chou\u00e9e.R\u00e9sultats: Les facteurs pr\u00e9dictifs significatifs de r\u00e9ussite comprenaient : un volume testiculaire conserv\u00e9 (p=0,042), des taux bas de FSH (p=0,002)et d'\u0153stradiol (p=0,018), un type excr\u00e9toire d'azoospermie (p=0,023), et une approche unilat\u00e9rale (p=0,005). La varicoc\u00e8le clinique et l'hydroc\u00e8le n'ont montr\u00e9 aucune corr\u00e9lation significative.Conclusion: Notre \u00e9tude identifie un profil pr\u00e9dictif du succ\u00e8s de la biopsie testiculaire, permettant une meilleure s\u00e9lection des patients etl'optimisation de la strat\u00e9gie chirurgicale en assistance m\u00e9dicale \u00e0 la procr\u00e9ation.<\/jats:p>","DOI":"10.62438\/tunismed.v104i02.6530","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T20:53:59Z","timestamp":1778100839000},"source":"Crossref","is-referenced-by-count":0,"title":["Facteurs pr\u00e9dictifs du succ\u00e8s de la biopsie testiculaire dans l'azoospermie"],"prefix":"10.62438","volume":"104","author":[{"given":"Awatef","family":"Raddaoui","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Abdelhedi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorra","family":"Boujelben","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Jalled","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31112","published-online":{"date-parts":[[2026,4,1]]},"container-title":["La Tunisie M\u00e9dicale"],"original-title":[],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T20:53:59Z","timestamp":1778100839000},"score":1,"resource":{"primary":{"URL":"https:\/\/latunisiemedicale.com\/index.php\/tunismed\/article\/view\/6530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.62438\/tunismed.v104i02.6530","relation":{},"ISSN":["2724-7031","0041-4131"],"issn-type":[{"value":"2724-7031","type":"electronic"},{"value":"0041-4131","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,1]]}}}