MP74-08 IMPORTANCE OF INTRAOPERATIVE ASSESSMENT OF SPERM IDENTIFICATION IN PREDICTING THE FINAL SPERM RETRIEVAL OUTCOME WITH MICRODISSECTION TESTICULAR SPERM EXTRACTION

Abstract

You have accessJournal of UrologyInfertility: Therapy1 Apr 2015MP74-08 IMPORTANCE OF INTRAOPERATIVE ASSESSMENT OF SPERM IDENTIFICATION IN PREDICTING THE FINAL SPERM RETRIEVAL OUTCOME WITH MICRODISSECTION TESTICULAR SPERM EXTRACTION Khalid Alrabeeah, Audrey Wachter, Evelyne Boulet, Simon Phillips, Naif AlHathal, Francois Bissonnette, Isaac Jacques Kadoch, and Armand Zini Khalid AlrabeeahKhalid Alrabeeah More articles by this author , Audrey WachterAudrey Wachter More articles by this author , Evelyne BouletEvelyne Boulet More articles by this author , Simon PhillipsSimon Phillips More articles by this author , Naif AlHathalNaif AlHathal More articles by this author , Francois BissonnetteFrancois Bissonnette More articles by this author , Isaac Jacques KadochIsaac Jacques Kadoch More articles by this author , and Armand ZiniArmand Zini More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2663AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To determine whether assessment of sperm recovery at the time of microdissection testicular sperm extraction (microTESE) can predict final microTESE sperm retrieval outcome and guide intra-operative planning. METHODS We conducted a retrospective study of 81 consecutive men with non-obstructive azoospermia who underwent a primary (first) microTESE-ICSI between March 2007 and October 2013. Final assessment of sperm recovery (reported on the day of ICSI) was recorded as (1) successful (available sperm for ICSI) or (2) unsuccessful (no sperm for ICSI). The decision to perform a unilateral or bilateral microTESE was guided by the intra-operative evaluation of sperm recovery from the first testicle. RESULTS Overall, sperm recovery was successful in 56% (45/81) of the men. A unilateral microTESE was performed in 47% (38/81) of the men and in 100% (38/38) of these men, sperm was found on final assessment. Of the 43 men who underwent a bilateral microTESE (because no sperm or rare sperm were found on intra-operative assessment of unilateral microTESE), 16% (7/43) had sperm identified on final assessment. The ICSI pregnancy rates (per cycle started and per embryo transfer) were 47% (21/45) and 60% (21/35), respectively, with a mean (±SD) of 1.9 ± 1.0 embryos transferred. CONCLUSIONS The data indicate that intra-operative assessment of sperm recovery can correctly identify those men that require a unilateral microTESE. Moreover, with assessment of sperm recovery at the time of microTESE, a bilateral microTESE can be avoided in nearly 50% of cases. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e941-e942 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Khalid Alrabeeah More articles by this author Audrey Wachter More articles by this author Evelyne Boulet More articles by this author Simon Phillips More articles by this author Naif AlHathal More articles by this author Francois Bissonnette More articles by this author Isaac Jacques Kadoch More articles by this author Armand Zini More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...