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Chapter-19 Surgical Sperm Retrieval Procedures in Azoospermia

BOOK TITLE: Practical Guide in Reproductive Surgery

Author
1. SS Vasan
2. B Shashidhar
ISBN
9789352704842
DOI
10.5005/jp/books/18067_20
Edition
1/e
Publishing Year
2018
Pages
20
Author Affiliations
1. NU Hospitals - Centre for Male Reproduction and Erectile dysfunction, Manipal ART Centre and Diacon Institute of Neurology and Andrology, Bangalore, India, Ankur Healthcare Pvt Ltd, Bengaluru, Karnataka, India; Manipal Andrology and Reproductive, Services, Bengaluru, Karnataka, India, FICS; Ankur Uro-Andrologist, Bengaluru, Karnataka, India, Manipal Fertility, Bangaluru, Karnataka, India, Manipal Fertility, Bengaluru, Karnataka, India, Trust Well Hospital, Bengaluru, Karnataka, India
2. Manipal Fertility, Bengaluru, Karnataka, India
Chapter keywords
Surgical sperm retrieval, SSR, azoospermia, male infertility, assisted reproductive technology, ART, nonobstructive azoospermia, NOA, ejaculatory failure, penile vibratory stimulation, electroejaculation

Abstract

The approach toward the treatment of male infertility was revolutionized by the introduction of the novel method of intracytoplasmic sperm injection (ICSI) in 1992. The use of surgical sperm retrieval (SSR) from the testis or epididymis for ICSI has provided an opportunity for azoospermic men to father their genetic children. In ICSI, a single sperm can be injected into an oocyte, which can result in normal fertilization, embryonic development, and implantation. Surgical sperm recovery for ICSI has become an indispensable part of clinical andrology and assisted reproductive technology (ART). Sperms can be retrieved in some cases of nonobstructive azoospermia (NOA), as the testis persists to possess some isolated foci of active spermatogenesis. This chapter covers the azoospermia, diagnosis of nonobstructive azoospermia, ejaculatory failure, penile vibratory stimulation and electroejaculation, and surgical sperm retrieval.

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