Abstract
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.
Original language | English (US) |
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Pages (from-to) | 606-611 |
Number of pages | 6 |
Journal | Fertility and sterility |
Volume | 86 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2006 |
Externally published | Yes |
Keywords
- Obstructive azoospermia
- PESA
- TESA
- fertilization rate
- miscarriage
- pregnancy rate
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology