title: [MESA (microsurgical epididymal sperm aspiration) and IVF (in vitro fertilization). A therapy concept in treatment of male infertility].
abstract: Microsurgical epididymal sperm aspiration (MESA), or sperm microaspiration retrieval technique (SMART), in conjunction with in vitro fertilization is a successful therapy in male infertility. From November 1991 to March 1994 a total of 29 attempts at MESA with subsequent IVF were made. Of 48 aspirations, 37 were successful and 13 attempts at IVF were possible, 6 of which were successful with 10 subsequent embryo transfers. In all, 3 pregnancies were achieved and 1 boy was born. In conclusion, microsurgical spermaspiration in conjunction with in vitro fertilization is a way of treating male infertility with a chance of achieving paternity with the partner's own sperm; the chances are probably better with intracytoplasmatic sperm injection.
mesh_terms: D004624:Embryo Transfer / Q000295:instrumentation; D004822:Epididymis / Q000166:cytology*; D005260:Female; D005307:Fertilization in Vitro / Q000295:instrumentation*; D006801:Humans; D007231:Infant, Newborn; D007248:Infertility, Male / Q000628:therapy*; D008297:Male; D008866:Microsurgery / Q000295:instrumentation*; D011247:Pregnancy; D013076:Sperm Count; D013081:Sperm Motility / Q000502:physiology; D013094:Spermatozoa / Q000637:transplantation*; D013396:Suction / Q000295:instrumentation*
vernacular_title: MESA (mikrochirurgische epididymale Spermienaspiration) und IVF (In-vitro-Fertilisation). Ein Therapiekonzept zur Behandlung der männlichen Infertilität.