Human Reproduction, Vol 13, 1260-1265, Copyright © 1998 by Oxford University Press
DM Nudell, J Conaghan, RA Pedersen, CR Givens, ED Schriock and PJ Turek
Epididymal sperm aspiration and in-vitro fertilization (IVF) with
intracytoplasmic sperm injection is an established treatment for
obstructive azoospermia. Sperm aspiration is performed with either an
incision or percutaneously. To control costs, minimize morbidity and retain
the advantages of both approaches, we developed a mini-incision technique
for epididymal aspiration and here report sperm retrieval and
procedure-related outcomes. Twenty-six consecutive patients with
obstructive azoospermia underwent epididymal sperm retrieval through a 1 cm
incision with local anaesthesia to provide spermatozoa for concurrent IVF
cycles. The quality of retrieved spermatozoa, the quantity of spermatozoa
cryopreserved as well as anaesthetic requirement, recovery time and patient
satisfaction were evaluated. Fresh epididymal spermatozoa were retrieved in
25 of 26 (96%) patients. In one patient, testicular sperm extraction was
necessary. Excess motile spermatozoa were cryopreserved in 24 of 26 (92%)
patients; a mean total motile count of 4.8x10(6) motile spermatozoa were
banked. The procedure was performed with 62% of patients receiving minimal
i.v. sedation. Post-procedure recovery was rapid, with a median time to
return to work of 2.0 days with a median of 2.0 pain pills taken.
Procedure-related satisfaction was high. The mini-micro-epididymal sperm
aspiration achieves the goals of reliable retrieval of abundant epididymal
spermatozoa with a single, minimally morbid procedure. It appears to
combine the advantages of the incision and percutaneous approaches.
ARTICLES
The mini-micro-epididymal sperm aspiration for sperm retrieval: a study of urological outcomes
Department of Urology, University of California San Francisco School of Medicine, 94143-0738, USA.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  M. Wald, L. S. Ross, G. S. Prins, J. Cieslak-Janzen, G. Wolf, and C. S. Niederberger Analysis of Outcomes of Cryopreserved Surgically Retrieved Sperm for IVF/ICSI J Androl, January 1, 2006; 27(1): 60 - 65. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Wood, V. Sephton, T. Searle, K. Thomas, K. Schnauffer, S. Troup, C. Kingsland, and I. Lewis-Jones Effect on Clinical Outcome of the Interval Between Collection of Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection in Obstructive Azoospermia J Androl, January 1, 2003; 24(1): 67 - 72. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Friedler, A. Raziel, D. Strassburger, M. Schachter, Y. Soffer, and R. Ron-El Factors influencing the outcome of ICSI in patients with obstructive and non-obstructive azoospermia: a comparative study Hum. Reprod., December 1, 2002; 17(12): 3114 - 3121. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Sousa, N. Cremades, J. Silva, C. Oliveira, L. Ferraz, J.T. da Silva, P. Viana, and A. Barros Predictive value of testicular histology in secretory azoospermic subgroups and clinical outcome after microinjection of fresh and frozen-thawed sperm and spermatids Hum. Reprod., July 1, 2002; 17(7): 1800 - 1810. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. N. Kolettis The Evaluation and Management of the Azoospermic Patient J Androl, May 1, 2002; 23(3): 293 - 305. [Full Text] [PDF]
|
|
|
|
|
|
S. Cayan, D. Lee, J. Conaghan, C. A. Givens, I. P. Ryan, E. D. Schriock, and P. J. Turek A comparison of ICSI outcomes with fresh and cryopreserved epididymal spermatozoa from the same couples Hum. Reprod., March 1, 2001; 16(3): 495 - 499. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. V. Meng, L. D. Black, I. Cha, B.-M. Ljung, R. A.R. Pera, and P. J. Turek Impaired spermatogenesis in men with congenital absence of the vas deferens Hum. Reprod., March 1, 2001; 16(3): 529 - 533. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Schroeder-Printzen, J. Zumbe, L. Bispink, St. Palm, U. Schneider, U. Engelmann, W. Weidner, and T. MESA/TESE Group Giessen Microsurgical epididymal sperm aspiration: aspirate analysis and straws available after cryopreservation in patients with non-reconstructable obstructive azoospermia Hum. Reprod., December 1, 2000; 15(12): 2531 - 2535. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L.D. Black, D.M. Nudell, I. Cha, A.M. Cherry, and P.J. Turek Compound genetic factors as a cause of male infertility: Case Report Hum. Reprod., February 1, 2000; 15(2): 449 - 451. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N.E. Bachtell, J. Conaghan, and P.J. Turek The relative viability of human spermatozoa from the vas deferens, epididymis and testis before and after cryopreservation Hum. Reprod., December 1, 1999; 14(12): 3048 - 3051. [Abstract] [Full Text] [PDF]
|
|