Advertisement

No-scalpel vasal sperm aspiration and in vitro fertilization for the treatment of anejaculation

  • Han-Sun Chiang
    Correspondence
    Reprint requests: Han-Sun Chiang, M.D., Department of Urology, Taipei Medical College Hospital, 252 Wu-Hsing Street, Taipei, Taiwan, Republic of China
    Affiliations
    Department of Urology, Taipei Medical College, Taipei, Taiwan, People's Republic of China
    Search for articles by this author
  • Chih-Hong Liu
    Affiliations
    Liu’s Center for Infertility and IVF, Taipei, Taiwan, People's Republic of China
    Search for articles by this author
  • Chii-Ruey Tzeng
    Affiliations
    Department of Urology, Taipei Medical College, Taipei, Taiwan, People's Republic of China

    Department of Gynecology, Taipei Medical College, Taipei, Taiwan, People's Republic of China
    Search for articles by this author
  • Hsiao-Jui Wei
    Affiliations
    Department of Urology, Taipei Medical College, Taipei, Taiwan, People's Republic of China

    Department of Gynecology, Taipei Medical College, Taipei, Taiwan, People's Republic of China
    Search for articles by this author

      Abstract

      Objectives. To evaluate the utility of no-scalpel vasal sperm aspiration and in vitro fertilization for the treatment of male infertility due to anejaculation.
      Methods. Vasal aspiration was performed using a no-scalpel technique, and the sperm were used for conventional in vitro fertilization in 1 patient and intracytoplasmic sperm injection in 6 patients.
      Results. The average total sperm count was 6 × 106, with the motility between 20% and 95%. No complications have been observed to date. A high fertilization rate (74.6%) and pregnancy rate (5 of 7) was achieved with subsequent intracytoplasmic sperm injection or in vitro fertilization.
      Conclusions. No-scalpel vasal sperm aspiration is a simple, effective alternative to sperm retrieval, especially for anejaculatory males.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Geboes K.
        • Steeno O.
        • DeMoor P.
        Primary anejaculation.
        Fertil Steril. 1975; 26: 1018-1020
        • Wang Y.H.
        • Chiang H.S.
        • Wu C.H.
        • et al.
        Electroejaculation in spinal cord injured males.
        J Formosan Med Assoc. 1992; 91: 413-418
        • Chen K.C.
        • Chiang H.S.
        • Chen H.M.
        • et al.
        Evaluation of the sperm quality of electro-ejaculate.
        J Urol ROC. 1993; 4: 1165-1170
        • Denil J.
        • Ohl D.A.
        • Menge A.C.
        Functional characteristics of sperm obtained by electroejaculation.
        J Urol. 1992; 147: 69-72
        • Li S.
        • Goldstein M.
        • Zhu J.
        • et al.
        The no-scalpel vasectomy.
        J Urol. 1991; 145: 341-344
        • Chiang H.S.
        • Liu C.H.
        • Tzeng C.Z.
        • et al.
        Surgical and pathologic observations of epididymal tubules during microscopic epididymal sperm aspiration for intracytoplasmic sperm injection.
        J Formosan Med Assoc. 1998; 97: 838-844
        • Palermo G.
        • Adler A.
        • Cohen J.
        • et al.
        Intracytoplasmic sperm injection.
        Fertil Steril. 1995; 63: 1231-1240
        • Sikka S.C.
        • Wang R.
        • Kukuy E.
        • et al.
        The detrimental effects of electric current on normal human sperm.
        J Androl. 1994; 15: 145-150
        • Rajasekaran M.
        • Hellstrom W.J.
        • Sparks R.L.
        • et al.
        Sperm damaging effects of electric current.
        Reprod Toxicol. 1994; 8: 427-432
        • Oehninger S.
        • Chaturvedi S.
        • Toner J.
        • et al.
        Semen quality.
        Hum Reprod. 1998; 13: 2161-2164
        • Chung P.H.
        • Palermo G.
        • Schlegel P.N.
        • et al.
        The use of intracytoplasmic sperm injection with electroejaculates from anejaculatory men.
        Hum Reprod. 1998; 13: 1854-1858
        • Hovav Y.
        • Kafka I.
        • Dan-Goor M.
        • et al.
        Electroejaculation in combination with intracytoplasmic sperm injection in patients with psychogenic anejaculation results in lower fertilization rates.
        Fertil Steril. 1998; 69: 561-563
        • Zhao S.C.
        Vas deferens occlusion by percutaneous injection of polyurethrane elastomer plugs.
        Contraception. 1990; 41: 453-459
        • Poore R.E.
        • Schneider A.
        • DeFranzo A.
        • et al.
        Comparison of puncture versus vasotomy techniques for vasography in an animal model.
        J Urol. 1997; 158: 464-466
        • Bustillo M.
        • Rajfer J.
        Pregnancy following insemination with sperm aspirated directly from vas deferens.
        Fertil Steril. 1986; 46: 144-146
        • Buch J.P.
        Live birth resulting from in-office vas deferens sperm retrieval combined with natural-cycle insemination.
        Hum Reprod. 1994; 9: 875-877
        • Balker A.M.
        • Sherins R.J.
        • Bustillo M.
        • et al.
        Pregnancy with microsurgical vas sperm aspiration from a patient with neurologic ejaculatory dysfunction.
        J Androl. 1994; 15: 6S-9S