title: Percutaneous vasal sperm aspiration and intrauterine insemination for infertile males with anejaculation.
abstract: OBJECTIVE
  To explore the effectiveness of percutaneous vasal sperm aspiration (PVSA) in combination with intrauterine insemination (IUI) to treat infertile men with anejaculation.
  
  
  METHODS
  Clinical study.
  
  
  METHODS
  Department of reproductive endocrinology and andrology of a family planning research clinic.
  
  
  METHODS
  Twenty-six anejaculatory infertile men.
  
  
  METHODS
  Spermatozoa obtained from the vas deferens by percutaneous aspiration were incubated in sperm preparation medium.
  
  
  METHODS
  Sperm quality by PVSA and pregnancy outcome.
  
  
  RESULTS
  Thirty-four PVSA-IUI procedures were performed in 26 men with anejaculation. Nineteen pregnancies were achieved (pregnancy rate, 73.1%). Mean (+/-SD) values for sperm variables were as follows: motility, 78.6% +/- 14.2%; progressive motility, 60.4% +/- 11.2%; density, 37.6 +/- 13.2 x 10(6) cells/mL; total count, 35.2 +/- 13.2 x 10(6) cells; and abnormal sperm, 18.6% +/- 7.6%.
  
  
  CONCLUSIONS
  Percutaneous vasal sperm aspiration may obtain high-motility sperm, and PVSA plus IUI is an effective treatment for male infertility with anejaculation.
authors.affiliation: Division of Reproductive Endocrinology, Shandong Institute for Family Planning Research, Jinan, Shandong, People's Republic of China. qiuyimail@yahoo.com
authors.forename: Yi
authors.initials: Y
authors.lastname: Qiu
authors.forename: Su-mei
authors.initials: SM
authors.lastname: Wang
authors.forename: Dan-tong
authors.initials: DT
authors.lastname: Yang
authors.forename: Lei-guang
authors.initials: LG
authors.lastname: Wang
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000209:etiology; D005260:Female; D006801:Humans; D007248:Infertility, Male / Q000628:therapy*; D007317:Insemination, Artificial, Homologous; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D013076:Sperm Count; D013081:Sperm Motility; D013094:Spermatozoa / Q000002:abnormalities / Q000502:physiology; D013396:Suction; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014649:Vas Deferens / Q000166:cytology*