title: Live birth resulting from in-office vas deferens sperm retrieval combined with natural-cycle insemination.
abstract: In-office retrieval of spermatozoa from the vas deferens was successfully combined with intra-uterine insemination of the wife during her natural cycle in the case of a man with azoospermia due to a non-correctable obstruction of the vas deferens. The combined cost of both procedures (sperm retrieval and intra-uterine insemination with processed spermatozoa) was less than $1000. The cost and convenience compare quite favourably with that of epididymis sperm aspiration combined with in-vitro fertilization, which is the currently recommended alternative treatment in such cases. These alternative therapies are compared and discussed relative to their advantages and disadvantages. Our technique for in-office vas deferens sperm retrieval is also presented.
authors.affiliation: Surgical Research Center, University of Connecticut Health Center, Farmington 06030.
authors.forename: J P
authors.initials: JP
authors.lastname: Buch
mesh_terms: D000328:Adult; D002469:Cell Separation; D002499:Centrifugation, Density Gradient; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007317:Insemination, Artificial, Homologous; D008297:Male; D009845:Oligospermia / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D011247:Pregnancy; D012099:Reproductive Techniques; D013094:Spermatozoa / Q000473:pathology*; D013396:Suction; D014649:Vas Deferens / Q000473:pathology / Q000601:surgery*