Korean J Obstet Gynecol.  1999 Mar;42(3):451-456.

The Outcome of Sperm Retrieval and Intracytoplasmic Sperm Injection in Patients with Obstructive Azoospermia: Impact of Previous Tuberculous Epididymitis

• Moon SY
• Choi YM
• Kim SH
• Oh SK
• Suh CS
• Lee JY
• Jung BJ
• Kim HS
• Ryu BY
• Kim JG
• Jee BC
• Lim KS

Abstract

OBJECTIVE
To investigate the intluence of previous tuberculous epididymitis in infertile males with obstructive azoospermia on the outcome of sperm retrieval and intracytoplasmic sperm injection(ICSI) in IVF-ET propam.
METHODS
Retrospective analysis was paformed in 26 patients with obstructive azoospermia undergoing sperm retrieval and ICSI at Seoul National University Hospital from January, 1996 to August, 1997; 12 cycles in 5 patients with tuberculous obstructive azoospermia(Group A), and 40 cycles in 21 patients with non-tuberculous obstructive azoospermia(Group B).
RESULTS
There was no significant difference in the clinical pregnancy rate(PR) per fresh transfer between Groups A and B(20.0%[2/10] vs. 26.8%(11/41)). The rates of embryo implantation and clinical miscarriage were also comparable in both groups(6.3% vs. 11.1%, 50.0% vs. 9.1%). This tendencies were also similar after including five cryopreserved-thawed transfer cycles.
CONCLUSION
Embryo quality and pregnancy outcome in sperm retrieval and ICSI were comparable in both the tuberculous and non-tuberculous obstructive azoospermia patients. Our results suggest that previous history of tuberculous epididymitis in patients with obstructive azoospermia does not affect the outcome of sperm retrieval and ICSI.

Keyword

Obstructive azoospermia; Tuberculous epididymitis; Sperm retrieval; Intracytoplasmic sperm injection(ICSI); IVF-ET

MeSH Terms

Abortion, Spontaneous
Azoospermia*
Embryo Implantation
Embryonic Structures
Epididymitis*
Female
Humans
Male
Pregnancy
Pregnancy Outcome
Retrospective Studies
Seoul
Sperm Injections, Intracytoplasmic*
Sperm Retrieval*
Spermatozoa*