Sperm retrieval and IVF-ICSI results in the treatment of obstructive and non-obstructive azoospermia

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dc.contributor.authorYurdakul, Talat
dc.contributor.authorGörkemli, Hüseyin
dc.contributor.authorAktan, Murad
dc.contributor.authorDuman, Selçuk
dc.contributor.authorGüven, Selçuk
dc.date.accessioned2020-03-26T16:56:02Z
dc.date.available2020-03-26T16:56:02Z
dc.date.issued2005
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractOBJECTIVE: It is usually possible to recover sperm in both obstructive and non-obstructive azoospermic patients by microsurgical epididymal aspiration (MESA) or testicular sperm extraction (TESE) and ICSI could be performed with these spermatozoas. STUDY DESIGN: Ninty-one males were diagnosed as azoospermia in the Urology Department, when sperm was able to recovered, intracytoplasmic sperm injection (ICSI) treatment was applied in our Assisted Reproductive Technology (ART) unit during the period of November 2000 to April 2003. MESA was performed to 13 obstructive azoospermic (OA) males and TESE was performed to 78 non-obstructive azoospsermic (NOA) males. RESULTS: Mature spermatozoa were picked up from all of the obstructive azoospermic patients. Mature spermatozoa were also picked up from 47 (60%) NOA patients. 92 ovulation induction cycles were carried out for ICSI. Of these cycles 29 were carried out with epididymal mature spermatozoa and 63 cycles carried out with testicular mature spermatozoa in non-obstructive azoospermics. In MESA group, fertilization rate was 149/243 (61%). Biochemical pregnancies were achieved in 6 couples (46%), a healthy twin was delivered in one couple (7.6%) and pregnancies of two couples are ongoing. In TESE group, fertilization rate was 181/488 (37.3%). Biochemical pregnancies were achieved in 13 couples (27%) and in 7 (14.8%) couples healthy delivery were done, one of them was twin . CONCLUSION: When sperm can be picked up by MESA or TESE from an azoospermic patient,IVF/ICSI is the only choice of treatment for these infertile couples.en_US
dc.identifier.endpage44en_US
dc.identifier.issn1300-4751en_US
dc.identifier.issn2602-4918en_US
dc.identifier.issue1en_US
dc.identifier.startpage40en_US
dc.identifier.urihttp://www.trdizin.gov.tr/publication/paper/detail/TlRBM016VTE=
dc.identifier.urihttps://hdl.handle.net/20.500.12395/19444
dc.identifier.volume11en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofGORM:Gynecology Obstetrics & Reproductive Medicineen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectKadın Hastalıkları ve Doğumen_US
dc.titleSperm retrieval and IVF-ICSI results in the treatment of obstructive and non-obstructive azoospermiaen_US
dc.typeArticleen_US

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