Outcome of repeated epididymal sperm aspiration or testicular sperm extraction in azoospermic patients.
- Author:
Jian-Ping OU
1
;
Guang-Lun ZHUANG
;
Can-Quan ZHOU
;
Chang-Xi WANG
;
Qian-Sheng ZHAN
;
Cong FANG
;
Yi-Min SHU
;
Wen-Lin PENG
;
Min-Fang ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Azoospermia; therapy; Female; Humans; Male; Middle Aged; Pregnancy; Pregnancy Outcome; Pregnancy Rate; Sperm Injections, Intracytoplasmic; methods; Tissue and Organ Harvesting; methods
- From: National Journal of Andrology 2003;9(7):524-526
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo review the outcome of repeated percutaneous sperm aspiration (PESA) and testicular sperm extraction (TESE) for intracytoplasmic sperm injection (ICSI).
METHODSForty-three cycles of 31 cases of azoospermic patients which underwent at least two PESA or TESE for ICSI from January 2001 to December 2002 were collected. The sperm retrieval, fertilization, implantation and clinical pregnancy were analyzed.
RESULTSTwenty-four cases underwent PESA and 7 cases underwent TESE. There were not any complications in these patients. Compared with the first cycle of 154 cases, the fertilization rate, implantation rate and clinical pregnancy rate were 78.39% vs 73.64%, 19.68% vs 18.38% and 34.88% vs 37.91%, respectively(P > 0.05).
CONCLUSIONSRepeated PESA or TESE is safe and well tolerated in azoospermic patients. Compared with the first cycle, the differences of repeated PESA or TESE cycles in fertilization rate, implantation rate and clinical pregnancy rate were not statistically significant.
