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Percutaneous vasal sperm aspiration and intrauterine insemination for infertile males with anejaculation.

Abstract：

OBJECTIVE:To explore the effectiveness of percutaneous vasal sperm aspiration (PVSA) in combination with intrauterine insemination (IUI) to treat infertile men with anejaculation. DESIGN:Clinical study. SETTING:Department of reproductive endocrinology and andrology of a family planning research clinic. PATIENT(S):Twenty-six anejaculatory infertile men. INTERVENTION(S):Spermatozoa obtained from the vas deferens by percutaneous aspiration were incubated in sperm preparation medium. MAIN OUTCOME MEASURE(S):Sperm quality by PVSA and pregnancy outcome. RESULT(S):Thirty-four PVSA-IUI procedures were performed in 26 men with anejaculation. Nineteen pregnancies were achieved (pregnancy rate, 73.1%). Mean (+/-SD) values for sperm variables were as follows: motility, 78.6% +/- 14.2%; progressive motility, 60.4% +/- 11.2%; density, 37.6 +/- 13.2 x 10(6) cells/mL; total count, 35.2 +/- 13.2 x 10(6) cells; and abnormal sperm, 18.6% +/- 7.6%. CONCLUSION(S):Percutaneous vasal sperm aspiration may obtain high-motility sperm, and PVSA plus IUI is an effective treatment for male infertility with anejaculation.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Qiu Y,Wang SM,Yang DT,Wang LG

doi

10.1016/s0015-0282(02)04697-6

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

618-20

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015028202046976

journal_volume

79

pub_type

杂志文章

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