EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM

Objective: This study was made to evaluate efficacy and success rate of Percutaneous Epididymal Sperm Aspiration (PESA), Microsurgical Epididymal Sperm Aspiration (MESA), or Testicular Sperm Extraction (TESE) in azoopsermic patients, and evaluate IVF program’s pregnancy rate by comparing methods of...

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Main Authors: I Putu Gde Sanjaya, Ponco Birowo, Nur Rasyid, Ivan Rizal Sini, Budi Wiweko
Format: Article
Language:English
Published: IKATAN AHLI UROLOGI INDONESIA 2015-10-01
Series:Jurnal Urologi Indonesia
Subjects:
Online Access:http://juri.urologi.or.id/juri/article/view/186
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author I Putu Gde Sanjaya
Ponco Birowo
Nur Rasyid
Ivan Rizal Sini
Budi Wiweko
author_facet I Putu Gde Sanjaya
Ponco Birowo
Nur Rasyid
Ivan Rizal Sini
Budi Wiweko
author_sort I Putu Gde Sanjaya
collection DOAJ
description Objective: This study was made to evaluate efficacy and success rate of Percutaneous Epididymal Sperm Aspiration (PESA), Microsurgical Epididymal Sperm Aspiration (MESA), or Testicular Sperm Extraction (TESE) in azoopsermic patients, and evaluate IVF program’s pregnancy rate by comparing methods of sperm retrieval. Material & method: A descriptive retrospective study to azoospermic patients undergone PESA, MESA or TESE and IVF program in Bunda Hospital Jakarta and Cipto Mangunkusumo Hospital Jakarta in 2011–2012. The data were collected from patients’ medical records and IVF program’s database. Results: There were 146 azoospermic patients with mean age 38.97 ± 7.35 years. Viable sperm was found in 46 patients (31.5%) by PESA and 47 patients (32.2%) by MESA and TESE. The IVF program was followed by 72 patients. Sperm was retrieved by PESA in 43 patients (59.7%) and TESE in 29 patients (40.3%). Pregnancy was achieved in 18 patients in PESA group (25%) and 15 patients (20.8%) in TESE group. Conclusion: Sperm can be retrieved from azoospermic patients by PESA, MESA or TESE, and there was good success rate in pregnancy rate of IVF program by using surgically retrieved sperm.
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spelling doaj.art-548c73f8aeb94e99a09f0389b456e2492022-12-21T17:24:29ZengIKATAN AHLI UROLOGI INDONESIAJurnal Urologi Indonesia0853-442X2355-14022015-10-0122210.32421/juri.v22i2.186186EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAMI Putu Gde Sanjaya0Ponco Birowo1Nur Rasyid2Ivan Rizal Sini3Budi Wiweko4Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.Indonesian Reproductive Science Institute (IRSI) – Bunda Hospital, Jakarta.Indonesian Reproductive Medicine Research and Training Center (INA REPROMED), Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.Objective: This study was made to evaluate efficacy and success rate of Percutaneous Epididymal Sperm Aspiration (PESA), Microsurgical Epididymal Sperm Aspiration (MESA), or Testicular Sperm Extraction (TESE) in azoopsermic patients, and evaluate IVF program’s pregnancy rate by comparing methods of sperm retrieval. Material & method: A descriptive retrospective study to azoospermic patients undergone PESA, MESA or TESE and IVF program in Bunda Hospital Jakarta and Cipto Mangunkusumo Hospital Jakarta in 2011–2012. The data were collected from patients’ medical records and IVF program’s database. Results: There were 146 azoospermic patients with mean age 38.97 ± 7.35 years. Viable sperm was found in 46 patients (31.5%) by PESA and 47 patients (32.2%) by MESA and TESE. The IVF program was followed by 72 patients. Sperm was retrieved by PESA in 43 patients (59.7%) and TESE in 29 patients (40.3%). Pregnancy was achieved in 18 patients in PESA group (25%) and 15 patients (20.8%) in TESE group. Conclusion: Sperm can be retrieved from azoospermic patients by PESA, MESA or TESE, and there was good success rate in pregnancy rate of IVF program by using surgically retrieved sperm.http://juri.urologi.or.id/juri/article/view/186AzoospermiaSurgical Sperm RetrievalPESAMESATESEIVF
spellingShingle I Putu Gde Sanjaya
Ponco Birowo
Nur Rasyid
Ivan Rizal Sini
Budi Wiweko
EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM
Jurnal Urologi Indonesia
Azoospermia
Surgical Sperm Retrieval
PESA
MESA
TESE
IVF
title EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM
title_full EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM
title_fullStr EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM
title_full_unstemmed EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM
title_short EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM
title_sort efficacy of surgical sperm retrieval in azoospermic patient and its contribution to in vitro rertilization program
topic Azoospermia
Surgical Sperm Retrieval
PESA
MESA
TESE
IVF
url http://juri.urologi.or.id/juri/article/view/186
work_keys_str_mv AT iputugdesanjaya efficacyofsurgicalspermretrievalinazoospermicpatientanditscontributiontoinvitrorertilizationprogram
AT poncobirowo efficacyofsurgicalspermretrievalinazoospermicpatientanditscontributiontoinvitrorertilizationprogram
AT nurrasyid efficacyofsurgicalspermretrievalinazoospermicpatientanditscontributiontoinvitrorertilizationprogram
AT ivanrizalsini efficacyofsurgicalspermretrievalinazoospermicpatientanditscontributiontoinvitrorertilizationprogram
AT budiwiweko efficacyofsurgicalspermretrievalinazoospermicpatientanditscontributiontoinvitrorertilizationprogram