We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
The Practical Procedures
Published online by Cambridge University Press: 03 June 2019
Surgical sperm retrieval (SSR) is used in situations where sperm suitable for fertility treatment cannot be obtained by other means, principally from the ejaculate. Even sperm obtained from cryptozoospermic samples can be used for intracytoplasmic sperm injection (ICSI) and the major indication is therefore azoospermia. On occasion, sperm suitable for treatment cannot be recovered due to problems with ejaculation and if techniques like penile vibratory stimulation or electro-ejaculation fail in men with conditions such as spinal cord injuries, or if sperm suitable for ICSI cannot be recovered from the post-orgasm urine in men with retrograde ejaculation, then SSR may be needed. A rare indication would be an ‘emergency’ retrieval procedure where a patient cannot for psychological reasons, produce a sperm sample on the day of oocyte retrieval and there are therefore no sperm available to proceed to treatment. As an alternative to cancelling the cycle, some authors have reported success by utilising SSR, although oocyte cryopreservation would be an appropriate alternative approach. In cases of obstructive azoospermia (OA), reconstructive male genital tract surgery where applicable, should be considered. Some authors describe excellent outcomes for vaso-vasostomy particularly in situations where the interval between vasectomy and reversal is short and the female partner is young with no fertility issues [1].
To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.
