MP52-11 TESTICULAR SPERM ASPIRATION IN MEN WITH SEVERE OLIGOZOOSPERMIA AND CRYPTOZOOSPERMIA: SPERM RETRIEVAL RATES AND ICSI OUTCOMES

You have accessJournal of UrologyInfertility: Therapy II (MP52)1 Apr 2019MP52-11 TESTICULAR SPERM ASPIRATION IN MEN WITH SEVERE OLIGOZOOSPERMIA AND CRYPTOZOOSPERMIA: SPERM RETRIEVAL RATES AND ICSI OUTCOMES Mohannad Alharbi*, Ahmad Almarzouq, and Armand Zini Mohannad Alharbi*Mohannad Alharbi* More articles by this author , Ahmad AlmarzouqAhmad Almarzouq More articles by this author , and Armand ZiniArmand Zini More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556503.72643.d8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Several studies have evaluated the role of testicular sperm aspiration (TESA) with intracytoplasmic sperm injection (ICSI) in azoospermic men but few have examined TESA in nonazoospermic men. We sought to evaluate TESA sperm retrieval rates and ICSI outcomes in men with severe oligozoospermia. METHODS: Data were collected retrospectively from 88 consecutive, nonazoospermic infertile men with idiopathic severe oligozoospermia who underwent TESA between January 2011 and January 2018. Patients were categorized into 4 groups according to sperm concentration: < 5 and > 1 million/ml (group 1), <1 and > 0.1 million/ml (group 2), < 0.1 million/ml (group 3) and cryptozoospermia (group 4). RESULTS: The mean male age was 37 ± 7 years and the mean female age was 33 ± 4 years. Sperm was recovered successfully in 90% (79/88) of the men overall and in 100% (30/30) of the men in group 1, 97% (29/30) of the men in group 2, 88% (15/17) of the men in group 3 and 45% (5/11) of the men in group 4. 65% (57/88) of the couples had an embryo transfer. The overall clinical pregnancy rate per embryo transfer (ET) was 46% (26/57). The clinical pregnancy rates (per ET) were 43% (9/21) in group 1, 65% (13/20) in group 2, 36% (4/11) in group 3 and 0% (0/5) in group 4. CONCLUSIONS: Our data indicate that TESA allows for high sperm retrieval rates and acceptable ICSI pregnancy rates in men with severe oligozoospermia. However, in our experience TESA sperm retrieval rates and ICSI outcomes are poor in cryptozoospermic men. Source of Funding: none Montreal, Canada; Montreal, Canada© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e769-e770 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mohannad Alharbi* More articles by this author Ahmad Almarzouq More articles by this author Armand Zini More articles by this author Expand All Advertisement PDF downloadLoading ...