Use of transperineal fine needle aspiration of seminal vesicles to retrieve sperm in a man with obstructive azoospermia.
OBJECTIVE
To report the successful and feasible use of transperineal fine needle aspiration of seminal vesicles (FNASV) for sperm retrieval in obstructive azoospermia.


METHODS
Case report.


METHODS
Outpatient care in institutional clinic.


METHODS
A 31-year-old man with obstructive azoospermia due to a middle prostatic müllerian cyst.


METHODS
Transperineal FNASV using a coaxial 17-gauge TruGuide needle.


METHODS
Feasibility of sperm retrieval suitable for future in vitro fertilization.


RESULTS
Transperineal FNASV made it possible to aspirate 11 mL of fluid with a sperm count of 100 million/mL and 15% motility. This sample was cryopreserved for in vitro fertilization using intracytoplasmic sperm injection.


CONCLUSIONS
Transperineal FNASV using a coaxial needle may be a further method for sperm retrieval to add to the repertoire of assisted reproduction technologies.
Cerruto
Maria Angela
MA
Urology Clinic, Policlinico G. B. Rossi, University of Verona, Verona, Italy. mcerruto@univr.it <mcerruto@univr.it>
Novella
Giovanni
G
Antoniolli
Stefano Zecchini
SZ
Zattoni
Filiberto
F
D000328:Adult; D053713:Azoospermia / Q000473:pathology* / Q000628:therapy*; D044963:Biopsy, Fine-Needle / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D009339:Needles; D012669:Seminal Vesicles / Q000473:pathology* / Q000601:surgery; D020554:Sperm Injections, Intracytoplasmic / Q000295:instrumentation / Q000379:methods; D013094:Spermatozoa / Q000473:pathology* / Q000637:transplantation*; D020858:Tissue and Organ Harvesting / Q000295:instrumentation / Q000379:methods*