Retrograde ejaculation – one of the causes of male infertility
Authors:
Eva Lousová 1; RNDr. Jana Žáková; Ph. D 1; MUDr. Rastislav Beharka 2; prof. MUDr. Pavel Ventruba; DrSc. 1; prof. MUDr. Dalibor Pacík; CSc. 2; Hana Pochopová 1
Authors‘ workplace:
Gynekologicko-porodnická klinika FN a MU Brno
1; Urologická klinika FN a MU Brno
2
Published in:
Prakt Gyn 2008; 12(1): 36-37
Overview
Introduction:
Retrograde ejaculation is a rare cause of male infertility. About 2 % of men are affected by it. In the case of azoospermia, it should be confi rmed or excluded by the post-ejaculatory urine test for spermatozoa. The objective of this study was to fi nd a method for the recovery and preparation of spermatozoa for in vitro fertilisation.
Material and method:
Urine was centrifuged and processed using the swim-up after urine alkalinisation, masturbation and urination.
Results:
Spermatozoa were obtained and cryopreserved from three successive collections performed in one patient. After fertilisation of 9 oocytes with the ICSI method, 2 embryos were suitable for embryotransfer.
Conclusion:
The above technique represents a chance for the recovery of spermatozoa in men with complete retrograde ejaculation.
Key words:
retrograde ejaculation – spermatozoa – azoospermia – assisted reproduction
Sources
1. Nikolettos N, Al-Hasani S, Baukloh V et al. The outcome of intracytoplasmic sperm injection in patients with retrograde ejaculation. Hum Rep 1999; 9: 2293-2296.
2. Gerris J, Royen E, Mangel-Schots K et al. Andrology: Pregnancy after intracytoplasmic sperm injection of metaphase II oocytes with spermatozoa from a man with complete retrograde ejaculation. Hum Rep 1994; 7: 1293-1296.
3. Yavetz H, Yogev L, Hauser R et al. Retrograde ejaculation. Hum Rep 1994; 3: 381-386.
4. Check JH, Bollendorf AM, Press MA et al. Noninvasive techniques for improving fertility potential of retrograde ejaculates. Arch Androl; 25: 271.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Practical Gynecology
2008 Issue 1
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