background: we performed this study to evaluate use of fresh and frozen sperm samples in non-obstructive azoospermia microdissection testicular sperm extraction (micro-tese-icsi) treatment. methods: we performed a total of 82 consecutive in vitro fertilization (ivf) cycles at fertijin ivf center in istanbul, turkey from january 2010 to march 2012. in 43 participants we used fresh sperm and froz...

Approximately 15% of couples cannot conceive a child after 1 year of regular, unprotected intercourse. Male factor infertility is contributory in another 30% to 40%. Most causes of male infertility are treatable and the goal of many treatments is to restore the ability to conceive naturally. The dramatic recent improvements in the management of male infertility are largely contributable to impr...

Men with congenital absence or bilateral partial aplasia of vas deferens, or those with failed or surgically unreconstructable obstructions or azospermic men with testicular failure or genetic cause can now be treated by using sperm retrieval techniques in conjunction with in vitro fertilization/intra cytoplasmic sperm injection (ICSI/ IVF). These techniques are: Microsurgical epididymal sperm ...

Azoospermia is classified as obstructive azoospermia (OA) or non-obstructive azoospermia (NOA), each having very different etiologies and treatments. The etiology, diagnosis, and management of azoospermia were reviewed and relevant literature summarized. Differentiation between these two etiologies is of paramount importance and is contingent upon thorough history and physical examination and i...

Azoospermia in men requires microsurgical reconstruction or a procedure for sperm retrieval with assisted reproduction to allow fertility. While the chance of successful retrieval of sperm in men with obstructive azoospermia approaches >90%, the chances of sperm retrieval in men with non-obstructive azoospermia (NOA) are not as high. Conventional procedures such as fine needle aspiration of the...

There are two main reasons why sperm may be absent from semen. Obstructive azoospermia is the result of a blockage in the male reproductive tract; in this case, sperm are produced in the testicle but are trapped in the epididymis. Non-obstructive azoospermia is the result of severely impaired or non-existent sperm production. There are three different sperm-harvesting procedures that obstructiv...

BACKGROUND The aim of our study was to review the results of microsurgically performed testicular sperm extraction (TESE) and to evaluate its possible long term effects on serum testosterone (T). METHODS We operated on 48 men (35 +/- 8 years) with non-obstructive azoospermia (NOA). If no spermatozoa were found following a micro epididymal sperm extraction (Silber et al., 1994) and testicular ...

Different methods for recovering epididymal or testicular spermatozoa have been described and each has its drawbacks and advantages. Percutaneous aspiration of the testis may be the method of choice in cases of irreparable obstructive azoospermia. Using a 21-gauge needle, spermatozoa may be recovered in 96 % of patients. More patients undergoing fine-needle aspiration experienced less pain than...

background: about 10% to 15% of infertile men have azoospermia, which could be obstructive or non-obstructive. diagnostic biopsy from the testis and recently testicular sperm extraction (tese) are the most precise investigations in these patients. testicular biopsy can be done unilaterally or bilaterally. the worth of unilateral or bilateral testicular biopsy in men with azoospermia is controve...