title: Birth after intracytoplasmic sperm injection with use of testicular sperm from men with Kartagener or immotile cilia syndrome.
abstract: OBJECTIVE
  To describe a case of intracytoplasmic sperm injection (ICSI) with testicular sperm in men with immotile cilia syndrome and to discuss the role of micromanipulation in the treatment of these patients.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Private infertility clinic and assisted reproduction unit.
  
  
  METHODS
  Couple with male factor infertility due to Kartagener's/immotile cilia syndrome.
  
  
  METHODS
  The patient's partner underwent ICSI with testicular sperm.
  
  
  METHODS
  Semen characteristics, sperm viability, fertilization and cleavage rate, pregnancy, and birth after ICSI.
  
  
  RESULTS
  With testicular sperm, the two pronuclear fertilization rates were 53%. ICSI was successful in the first cycle. The uncomplicated pregnancy resulted in the birth of two healthy children, male/female twins.
  
  
  CONCLUSIONS
  With testicular sperm, successful oocyte fertilization after ICSI in couples with male Kartagener or immotile cilia syndrome is possible with nonprogressive motile sperm resulting in clinically healthy offsprings.
authors: Department of Obstetrics & Gynecology, Disha Fertility & Surgical Center, Indore, India. dr_manila@yahoo.co.in <dr_manila@yahoo.co.in>
authors: Manila
authors: M
authors: Kaushal
authors: Asha
authors: A
authors: Baxi
mesh_terms: D000328:Adult; D002925:Ciliary Motility Disorders / Q000473:pathology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007619:Kartagener Syndrome / Q000473:pathology*; D008297:Male; D036801:Parturition; D011247:Pregnancy; D011272:Pregnancy, Multiple; D020554:Sperm Injections, Intracytoplasmic; D013094:Spermatozoa / Q000473:pathology*; D014427:Twins