Document Detail


Embryos generated using testicular spermatozoa have higher developmental potential than those obtained using epididymal spermatozoa in men with obstructive azoospermia.
MedLine Citation:
PMID:  16952508     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether the injection of testicular spermatozoa results in more viable embryos (higher implantation rate) than injection of epididymal spermatozoa in cases of obstructive azoospermia. DESIGN: Retrospective analysis of 265 cases of testicular sperm aspiration (TESA) and percutaneous sperm aspiration (PESA), including 185 cases of obstructive azoospermia. SETTING: Private Infertility clinic. PATIENT(S): None, charts review. INTERVENTION(S): None, charts review. MAIN OUTCOME MEASURE(S): Clinical pregnancy rate (PR), implantation rate. RESULT(S): Although fertilization rates were higher in the PESA group, implantation rates were significantly better in the TESA group. There was also a trend to higher ongoing PR and lower miscarriage rates in TESA cases. CONCLUSION(S): In cases of obstructive azoospermia, embryos generated using testicular spermatozoa have higher developmental potential than those obtained using epididymal spermatozoa.
Authors:
Dmitri Dozortsev; Rosa Neme; Michael P Diamond; Soraya Abdelmassih; Vicente Abdelmassih; Flavio Oliveira; Roger Abdelmassih
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  86     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-05     Completed Date:  2006-09-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  606-11     Citation Subset:  IM    
Affiliation:
Clínica e Centro de Pesquisa em Reprodução Humana Roger Abdelmassih, São Paulo, Brazil. dmitri@dozortsev.net
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MeSH Terms
Descriptor/Qualifier:
Brazil / epidemiology
Embryo, Mammalian / pathology*
Epididymis / pathology*
Female
Humans
Infertility, Male / epidemiology,  therapy
Male
Oligospermia / epidemiology,  therapy*
Pregnancy
Pregnancy Rate*
Retrospective Studies
Sperm Injections, Intracytoplasmic / methods,  statistics & numerical data
Spermatozoa / pathology*,  transplantation*
Testis / pathology*
Treatment Outcome
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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