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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Format: | Article |
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IKATAN AHLI UROLOGI INDONESIA
2015-10-01
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Series: | Jurnal Urologi Indonesia |
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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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id | doaj.art-548c73f8aeb94e99a09f0389b456e249 |
institution | Directory Open Access Journal |
issn | 0853-442X 2355-1402 |
language | English |
last_indexed | 2024-12-24T00:24:56Z |
publishDate | 2015-10-01 |
publisher | IKATAN AHLI UROLOGI INDONESIA |
record_format | Article |
series | Jurnal Urologi Indonesia |
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 |