Use of assisted reproductive techniques for treatment of ejaculatory disorders.
Ejaculatory disorders can interfere with the fertility of young adults who suffer from spinal cord injury, have type I diabetes mellitus or have undergone retroperitoneal or intrapelvic operations. Following an overview of causes and treatment of ejaculatory disorders, the data of our centre are presented. From a group of 37 patients with genuine loss of seminal emission, 15 men and their wives were offered a combined treatment of rectal probe electro-ejaculation and artificial reproductive techniques. No serious complications occurred. During 40 cycles with intracorporeal insemination and 11 cycles with extracorporeal fertilization techniques, seven pregnancies were achieved, representing a pregnancy rate of 46% per couple and 14% per cycle for all cycles. Five healthy children were born, all following extracorporeal insemination. The 'take-home baby rate' for this population and for this technique is 45%. In vitro fertilization (IVF) led to one birth, intracytoplasmic sperm injection (ICSI) achieved four live births out of three pregnancies, one being a twin gestation. Since our successes are due to the use of extracorporeal insemination techniques, these are now incorporated in a new, more rational treatment protocol.
Denil
J
J
Department of Urology, Hannover Medical School, Germany.
Kuczyk
M A
MA
Schultheiss
D
D
Jibril
S
S
Küpker
W
W
Fischer
R
R
Jonas
U
U
Schlösser
H W
HW
Diedrich
K
K
D004542:Ejaculation; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D008297:Male; D011247:Pregnancy; D012099:Reproductive Techniques; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000628:therapy*