The treatment of Non-obstructive Azoospermia / 대한불임학회지
Korean Journal of Fertility and Sterility
;
: 95-99, 1997.
Artículo
en Coreano
| WPRIM
| ID: wpr-31299
ABSTRACT
Irreparable obstructive azoospermic patients can be treated successfully with microsurgical epididymal sperm aspiration(MESA) o. testicular sperm extraction (TESE) by intracytoplasmic sperm injection(ICSI). Obstructive azoospermic patients generally have normal spermatogenesis. The aim of this study was to see if any spermatozoa could be retrieved from non-obstructive azoospermia and to assess the efficacy of ICSI with TESE in germinal failure. 42 non-obstructive azoospermic patients revealed no spermatozoa at all in their ejaculates, even after centrifuge. The histology of 42 patients revealed 15 Sertoli cell only Syndrome, 4 maturation arrest and 23 severe hypospermatogenesis. All patients underwent extensive multiple testicular biopsy for sperm retrieval. These patients were scheduled for ICSI using testicular spermatozoa. In 25 out of 42 non-obstructive azoospermic patients, spermatozoa were recovered from multiple testicular biopsy specimen and 11 ongoing pregnancies were achieved. There are usually some tiny foci of spermatogenesis which allow TESE with ICSI in non-obstructive azoospermia. Also these patients may have sufficient sperm in the testes for ICSI, despite extremely high FSH level and small testes.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oligospermia
/
Espermatogénesis
/
Espermatozoides
/
Testículo
/
Biopsia
/
Inyecciones de Esperma Intracitoplasmáticas
/
Azoospermia
/
Recuperación de la Esperma
/
Síndrome de Sólo Células de Sertoli
Límite:
Humanos
/
Masculino
/
Embarazo
Idioma:
Coreano
Revista:
Korean Journal of Fertility and Sterility
Año:
1997
Tipo del documento:
Artículo
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