title: Successful treatment of idiopathic anejaculation with electroejaculation after microsurgical vas aspiration.
abstract: This case report describes a couple suffering from infertility secondary to psychogenic anejaculation, which was refractory to all conservative treatment modalities. A first trial of microsurgical vas aspiration in combination with in-vitro fertilization (IVF) resulted in a pregnancy. After 2 years, three more trials of microsurgical vas aspiration in combination with either IVF or subzonal insemination (SUZI) resulted in embryo transfer without pregnancy. Finally, after 3 years, spermatozoa obtained by rectal probe stimulation under general anaesthesia were cryopreserved. A second intracytoplasmic sperm injection (ICSI) procedure using these cryopreserved spermatozoa also resulted in a second pregnancy. Although sperm concentration was in the normal range, in all samples obtained by either rectal probe electrostimulation or microsurgical vas aspiration, motility was <30% in all but two samples.
authors.affiliation: Leuven University Fertility Center, University Hospital Gasthuisberg, Belgium.
authors.forename: D
authors.initials: D
authors.lastname: Vanderschueren
authors.forename: C
authors.initials: C
authors.lastname: Spiessens
authors.forename: C
authors.initials: C
authors.lastname: Kiekens
authors.forename: P
authors.initials: P
authors.lastname: Vanderzwalmen
authors.forename: M
authors.initials: M
authors.lastname: Nijs
authors.forename: R
authors.initials: R
authors.lastname: Schoysman
authors.forename: T
authors.initials: T
authors.lastname: D'Hooghe
mesh_terms: D000328:Adult; D004542:Ejaculation; D004558:Electric Stimulation; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods; D006801:Humans; D007248:Infertility, Male / Q000601:surgery* / Q000628:therapy*; D008297:Male; D008866:Microsurgery; D011247:Pregnancy; D013396:Suction; D014649:Vas Deferens / Q000601:surgery*