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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 medicine
Topics Journals
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