Percutaneous vasal sperm aspiration and intrauterine insemination for infertile males with anejaculation.
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.
Qiu
Yi
Y
Division of Reproductive Endocrinology, Shandong Institute for Family Planning Research, Jinan, Shandong, People's Republic of China. qiuyimail@yahoo.com
Wang
Su-mei
SM
Yang
Dan-tong
DT
Wang
Lei-guang
LG
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*