title: Testicular aspiration of sperm for intracytoplasmic sperm injection: a novel treatment for ejaculatory failure on the day of oocyte retrieval.
abstract: OBJECTIVE
  To present a successful outcome of an IVF cycle complicated by failure to produce a sperm sample on the morning of oocyte retrieval.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Hospital-based IVF clinic.
  
  
  METHODS
  A couple suffering secondary infertility undergoing their first IVF and intracytoplasmic sperm injection (ICSI) cycle.
  
  
  METHODS
  Fine-needle testicular biopsy for sperm retrieval.
  
  
  METHODS
  Sperm retrieval, fertilization, pregnancy.
  
  
  RESULTS
  Sufficient spermatozoa were obtained for ICSI. Ten metaphase II oocytes were injected with two embryos being transferred fresh and four cryopreserved. A single fetal heart was confirmed at 6-week sonar.
  
  
  CONCLUSIONS
  Testicular aspiration of sperm for ICSI is a simple, inexpensive, and effective means of rescuing an IVF cycle in which the male partner unexpectedly has been unable to produce a sperm sample on the morning of oocyte collection.
authors.affiliation: Royal Womens Hospital, Carlton, Victoria, Australia.
authors.forename: W
authors.initials: W
authors.lastname: Watkins
authors.forename: H
authors.initials: H
authors.lastname: Bourne
authors.forename: F
authors.initials: F
authors.lastname: Nieto
authors.forename: M
authors.initials: M
authors.lastname: Gronow
authors.forename: G
authors.initials: G
authors.lastname: Baker
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D004542:Ejaculation; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008297:Male; D008845:Microinjections; D011247:Pregnancy; D013094:Spermatozoa