No-scalpel vasal sperm aspiration and in vitro fertilization for the treatment of anejaculation

• Published in: Urology (Ridgewood, N.J.) Vol. 55; no. 6; pp. 918 - 921
• Main Authors: Chiang, Han-Sun, Liu, Chih-Hong, Tzeng, Chii-Ruey, Wei, Hsiao-Jui
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.2000; Elsevier Science
• Subjects: Adult; Biological and medical sciences; Ejaculation; Fertilization in Vitro; Genital system. Mammary gland; Humans; Infertility, Male - etiology; Infertility, Male - therapy; Male; Medical sciences; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Sperm Injections, Intracytoplasmic; Tissue and Organ Harvesting - methods; Human; Aspiration; Semen; Non invasive method; Instrumentation therapy; Technical assistance; Male sterility; Anejaculation; Fecundation; Male genital diseases; Vas deferens
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/S0090-4295(00)00466-0

Objectives. To evaluate the utility of no-scalpel vasal sperm aspiration and in vitro fertilization for the treatment of male infertility due to anejaculation. Methods. Vasal aspiration was performed using a no-scalpel technique, and the sperm were used for conventional in vitro fertilization in 1 patient and intracytoplasmic sperm injection in 6 patients. Results. The average total sperm count was 6 × 10 6, with the motility between 20% and 95%. No complications have been observed to date. A high fertilization rate (74.6%) and pregnancy rate (5 of 7) was achieved with subsequent intracytoplasmic sperm injection or in vitro fertilization. Conclusions. No-scalpel vasal sperm aspiration is a simple, effective alternative to sperm retrieval, especially for anejaculatory males.