Over 70 million couples worldwide suffer from infertility (Ombelet et al., 2008). Approximately 1% of all infertile men have obstructive (OA) or nonobstructive azoospermia (NOA; Inhorn & Patrizio, 2015). Contributing to this statistic is the fact that azoospermia is characterised by a lack of spermatozoa in the ejaculated fluid (Fang et al., 2019). If viable testicular spermatozoa can be obtained from these patients, full developmental potential zygotes may be formed using the ICSI procedure (Fang et al., 2019; Shrem et al., 2019). Fortunately, tissue extracted from the testis contains spermatozoa and round germ cells, interstitial cells, Sertoli cells (Crabbé, Verheyen, Tournaye, & Van Steirteghem, 1997) and a high concentration of erythrocytes (Nagy, Verheyen, Tournaye, Devroey, & Van Steirteghem, 1997). According to commonly accepted testicular sperm preparation protocols, sperm suspension is exposed to erythrocyte lysing buffer (ELB) for 5-10 min. This preparation eliminates erythrocytes and produces a clean suspension of testicular spermatozoa. Therefore, it facilitates the search for sperm cells