Surgical sperm retrieval: A review of current practice
- 1 January 2002
- journal article
- review article
- Published by Taylor & Francis Ltd in Human Fertility
- Vol. 5 (1), 17-22
- https://doi.org/10.1080/1464727992000199711
Abstract
Although pregnancies were achieved after surgical sperm retrieval and in vitro fertilization 8 years before the introduction of intracytoplasmic sperm injection (ICSI), it is the development of ICSI that has led to the rapid expansion of surgical procedures to obtain sperm from azoospermic males for use in assisted conception cycles. The natural desire for couples to achieve a pregnancy using their own gametes and a national shortage of donor sperm have driven the demand for an expansion of this service. Males who have previously been considered unable to father their own genetic child can now be offered treatment, which, in most cases, will lead to the recovery of sperm for use in treatment. This article considers the development of the techniques available to clinicians and provides an overview of the many treatments (and their acronyms) to assist clinicians unfamiliar with the practicalities of surgical sperm retrieval. In reviewing the current published studies, we also offer some guidelines as to the optimization of the potential future provisions of surgical sperm retrieval treatments for azoospermic males, either secondary to obstruction (particularly after vasectomy) or from non-obstructive causes.This publication has 62 references indexed in Scilit:
- Quantitative and Ultrastructural Study of Germinal Epithelium in Testicular Biopsies with “Mixed Atrophy”Andrologia, 2009
- DIAGNOSTIC FINDINGS FROM TESTIS FINE NEEDLE ASPIRATION MAPPING IN OBSTRUCTED AND NONOBSTRUCTED AZOOSPERMIC MENJournal of Urology, 2000
- Decrease in testosterone blood concentrations after testicular sperm extraction for intracytoplasmic sperm injection in azoospermic menThe Lancet, 1998
- Open versus closed epididymal sperm retrieval in men with secondarily obstructed vasal systems—a preliminary reportBJU International, 1996
- Pregnancy after intracytoplasmic injection of spermatidThe Lancet, 1995
- Pregnancy after fertilisation with human testicular spermatozoaThe Lancet, 1993
- Fertilisation by testicular sperm with standard IVF techniquesThe Lancet, 1993
- Fertilising ability of testicular spermatozoaThe Lancet, 1993
- Human pregnancy by in vitro fertilization (IVF) using sperm aspirated from the epididymisJournal of Assisted Reproduction and Genetics, 1985
- Chromosomal constitution of infertile menClinical Genetics, 1984