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Human Reproduction, Vol 13, 370-371, Copyright © 1998 by Oxford University Press

ARTICLES

Successful treatment of idiopathic anejaculation with electroejaculation after microsurgical vas aspiration

D Vanderschueren, C Spiessens, C Kiekens, P Vanderzwalmen, M Nijs, R Schoysman and T D'Hooghe
Leuven University Fertility Center, University Hospital Gasthuisberg, Belgium.

This case report describes a couple suffering from infertility secondary to psychogenic anejaculation, which was refractory to all conservative treatment modalities. A first trial of microsurgical vas aspiration in combination with in-vitro fertilization (IVF) resulted in a pregnancy. After 2 years, three more trials of microsurgical vas aspiration in combination with either IVF or subzonal insemination (SUZI) resulted in embryo transfer without pregnancy. Finally, after 3 years, spermatozoa obtained by rectal probe stimulation under general anaesthesia were cryopreserved. A second intracytoplasmic sperm injection (ICSI) procedure using these cryopreserved spermatozoa also resulted in a second pregnancy. Although sperm concentration was in the normal range, in all samples obtained by either rectal probe electrostimulation or microsurgical vas aspiration, motility was <30% in all but two samples.
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