Experience of testicular sperm aspiration in intracytoplasmic sperm injection cycles at Prince Rashid bin al-Hassan Hospital

Abstract EN

Objective : To determine the reproductive outcome after the application of intracytoplasmic sperm injection treatment with testicular sperms obtained by fine needle aspiration.

Methods : Between August 2005 and December 2007, a total of 55 infertile women (age 21-41 years) underwent intracytoplasmic sperm injection treatment due to male factor.

All male partners (age 25-71 years) were azoospermic.

Duration of infertility ranged from two to 17 years.

The demographic, hormonal and treatment data of both male and female partner along with the reproductive outcome were analyzed.

Results : Of the 55 male partners, 12 (21.2%) men had obstructive azoospermia, and 43 (78.8%) had nonobstructive azoospermia.

After intracytoplasmic sperm injection treatment, the fertilization and implantation rates were 68.8% and 21.1%, respectively.

Twenty-eight of 55 (50.9%) women achieved pregnancy.

Seven women of 28 (25%) had multiple pregnancy.

Delivery took place in 23 women (41.8%) of which 16 (69.6%) were full-term and seven (30.4%) were preterm pregnancies (<37 weeks).

Abortion occurred in five women (17.8%).

No complications after the testicular fine needle aspiration procedure were encountered.

Conclusion : Intracytoplasmic sperm injection treatment is associated with high pregnancy rate after testicular fine needle aspiration of sperms from patients with obstructive and non-obstructive azoospermia.

The procedure is simple, noninvasive, repeatable with no/or minimal complications.