Chromosomal abnormalities in embryos derived from testicular sperm extraction.
OBJECTIVE
To compare the rate of chromosome abnormalities in embryos obtained from karyotypically normal patients with nonobstructive azoospermia undergoing testicular sperm extraction (TESE) to those from patients undergoing intracytoplasmic sperm injection (ICSI) with ejaculated sperm.


METHODS
Retrospective analysis.


METHODS
IVF centers.


METHODS
Male partners had either nonobstructive zoospermia or oligospermia.


METHODS
Preimplantation genetic diagnosis. Chromosome enumeration was performed by fluorescence in situ hybridization (FISH). Embryos classified as abnormal were reanalyzed to study mosaicism.


METHODS
Chromosome abnormalities in embryos.


RESULTS
Embryos from ICSI cycles with ejaculated sperm (group 1) were 41.8% normal, 26.2% aneuploid, and 26.5% mosaic. In contrast, the embryos from ICSI cycles with TESE for nonobstructive azoospermia (group 2) were 22% normal, 17% aneuploid, and 53% mosaic. The difference in mosaicism rate between the two groups of embryos was highly significant.


CONCLUSIONS
The present study results indicate a high incidence of mosaicism in embryos derived from TESE in men with a severe deficit in spermatogenesis. Sperm derived from TESE for nonobstructive azoospermia may have a higher rate of compromised or immature centrosome structures leading to mosaicism in the embryo.
Silber
Sherman
S
Infertility Center of St. Louis at St. Luke's Hospital, St. Louis, Missouri, USA.
Escudero
Tomas
T
Lenahan
Kathleen
K
Abdelhadi
Iman
I
Kilani
Zaid
Z
Munné
Santiago
S
D000782:Aneuploidy; D002869:Chromosome Aberrations; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D008297:Male; D009030:Mosaicism; D009845:Oligospermia / Q000628:therapy; D019836:Preimplantation Diagnosis; D012189:Retrospective Studies; D020554:Sperm Injections, Intracytoplasmic; D013094:Spermatozoa; D013737:Testis / Q000166:cytology*; D020858:Tissue and Organ Harvesting / Q000379:methods*