Treatment of male infertility

Craft, Ian; Shrivastav, Pankaj; Quinton, Richard; Duke, Veronique; Kirk, Jeremy; Bouloux, Pierre; Dinçer, SüleymanL.; Dinçer, Sibel

doi:10.1016/s0140-6736(94)92792-8

Cited by 39 publications

(19 citation statements)

References 5 publications

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“…Since their description in 1994, the use of percutaneous approaches to retrieve sperm from the epididymis has gained popularity (1,5,17,18). Both the epididymal and testicular techniques share similar traits, as they require that a needle be percutaneously inserted into the sperm source (14).…”

Section: Sperm Retrieval: Available Methods and Technical Aspectsmentioning

confidence: 99%

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An update on sperm retrieval techniques for azoospermic males

Esteves¹,

Miyaoka²,

Orosz³

et al. 2013

Clinics

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The use of non-ejaculated sperm coupled with intracytoplasmic sperm injection has become a globally established procedure for couples with azoospermic male partners who wish to have biological offspring. Surgical methods have been developed to retrieve spermatozoa from the epididymides and the testes of such patients. This article reviews the methods currently available for sperm acquisition in azoospermia, with a particular focus on the perioperative, anesthetic and technical aspects of these procedures. A critical analysis of the advantages and disadvantages of these sperm retrieval methods is provided, including the authors' methods of choice and anesthesia preferences.

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Section: Sperm Retrieval: Available Methods and Technical Aspectsmentioning

confidence: 99%

“…Originally, the use of a larger butterfly needle was described (17). Currently, most experts use a fine needle (26 gauge) attached to a tuberculin syringe containing sperm washing medium (1,5,14).…”

Section: Sperm Retrieval: Available Methods and Technical Aspectsmentioning

confidence: 99%

An update on sperm retrieval techniques for azoospermic males

Esteves¹,

Miyaoka²,

Orosz³

et al. 2013

Clinics

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“…Craft and Shrivastav, in 1994, first described the use of the percutaneous approach to retrieve sperm from the epididymis (14). Two years later, Lewin et al reported the use of testicular fine needle aspiration to retrieve sperm from the testis (15).…”

Section: Percutaneous Sperm Retrieval Methodsmentioning

confidence: 99%

Sperm retrieval techniques for assisted reproduction

Esteves¹,

Miyaoka²,

Agarwal³

2011

Int. braz j urol.

127

117

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Different surgical methods such as PESA, MESA, TESA, TESE and micro-TESE have been developed to retrieve spermatozoa from either the epididymis or the testis according to the type of azoospermia, i.e., obstructive or non-obstructive. Laboratory techniques are used to remove contaminants, cellular debris, and red blood cells following collection of the epididymal fluid or testicular tissue. Surgically-retrieved spermatozoa may be used for intracytoplasmic sperm injection (ICSI) and/or cryopreservation. In this article, we review the surgical procedures for retrieving spermatozoa from both the epididymis and the testicle and provide technical details of the commonly used methods. A critical analysis of the advantages and limitations of the current surgical methods to retrieve sperm from males with obstructive and non-obstructive azoospermia is presented along with an overview of the laboratory techniques routinely used to process surgically-retrieved sperm. Lastly, we summarize the results from the current literature of sperm retrieval, as well as the clinical outcome of ICSI in the clinical scenario of obstructive and nonobstructive azoospermia.

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“…They were not included in this study. In the 51 successful PESA attempts, the mean number of cryotubes stored per patient was 6.5 (range [3][4][5][6][7][8][9][10][11][12]. No major complication occurred except for scrotal ecchymosis in one patient, which was relieved by ice packing.…”

Section: Resultsmentioning

confidence: 99%