title: [Therapeutic strategies in azoospermia: management].
abstract: ICSI allows use of epididymal or testicular sperm in case of azoospermia. The aim of this study is to propose an algorithm for the management of the different situations of azoospermia according to our personal experience and according to data of literature. The following points are discussed: epididymal or testicular origin of sperm, retrieval technique, contribution of freezing, interest of in vitro culture, side effects and need of a preliminary biopsy. So a therapeutic strategy adapted to both types of azoospermia obstructive and non obstructive can be proposed.
authors.affiliation: CMCO, Département d'Assistance Médicale à la Procréation, Schiltighem.
authors.forename: J
authors.initials: J
authors.lastname: Ohl
authors.forename: C
authors.initials: C
authors.lastname: Wittemer
authors.forename: S
authors.initials: S
authors.lastname: Domine
authors.forename: K
authors.initials: K
authors.lastname: Bettahar-Lebugle
authors.forename: D
authors.initials: D
authors.lastname: Jacqmin
authors.forename: I
authors.initials: I
authors.lastname: Nisand
mesh_terms: D001706:Biopsy; D015925:Cryopreservation; D004822:Epididymis / Q000166:cytology; D006801:Humans; D007317:Insemination, Artificial, Homologous / Q000379:methods*; D008297:Male; D009845:Oligospermia; D012662:Semen Preservation; D013048:Specimen Handling; D013094:Spermatozoa
vernacular_title: Stratégie thérapeutique dans les azoospermies: mise au point.