[Surgery for male infertility]

Biological improvement reduces number of infertile couples, but surgical treatment of male infertility still remains disappointing. Surgeons play an important role within multi-disciplinary teams dealing with infecund couples. Even through biological and microsurgical approach in the operating room, postoperative results with carefully selected patients remain poor. Surgery will be reserved for the only clear and simple cases, and surgeons will not yield under pressure of patients or practitioners and carry out a "last chance" procedure.