Testicular sperm aspiration (TESA) in 327 ICSI cycles

Giovanni B. La Sala, Barbara Valli, Sergio Leoni, Michela Pescarini, Ferdinando Martino, Alessia Nicoli

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective - To evaluate the efficiency of testicular sperm recovery by testicular sperm aspiration (TESA) in an IVF program. Design - Retrospective Data Analysis. Setting - The Center of Reproductive Medicine, Department of Obstetrics and Gynecology, Arcispedale S. Maria Nuova, Reggio Emilia, Italy. Patient(s) - Couples undergoing TESA/ICSI for obstructive or nonobstructive azoospermia. Intervention(s) - TESA/ICSI. Main outcome measure(s) - Efficiency of testicular sperm recovery, fertilization rate, implantation rate and clinical pregnancy rate. Result(s) - Between March 1, 1997 and March 31, 2005, 327 cycles of TESA/ICSI were performed in couples in which the male had obstructive or nonobstructive azoospermia. The efficiency of testicular sperm recovery was 99.4% and 99.3%, fertilization rate 57.1% and 49.1%, implantation rate 5.7% and 6.2%, and the clinical pregnancy rate 12.9% and 15.4% in men with obstructive and nonobstructive infertility, respectively. Conclusion(s) - The efficiency of TESA is very high in both obstructive and nonobstructive azoospermia. Because TESA is less invasive than TESE, it should be considered a valuable alternative to TESE in IVF programs, especially in setting where resources are limited.

Original languageEnglish
Pages (from-to)177-182
Number of pages6
JournalInternational Journal of Fertility and Women's Medicine
Volume51
Issue number4
Publication statusPublished - Jul 2006

Fingerprint

Sperm Retrieval
Intracytoplasmic Sperm Injections
Spermatozoa
Pregnancy Rate
Fertilization
Reproductive Medicine
Hospital Obstetrics and Gynecology Department
Gynecology
Infertility
Italy
Outcome Assessment (Health Care)

Keywords

  • Assisted reproduction technology (ART)
  • Intracytoplasmic sperm injection (ICSI)
  • Obstructive /nonobstructive azoospermia
  • Testicular sperm aspiration (TESA)
  • Testicular sperm extraction (TESE)

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

La Sala, G. B., Valli, B., Leoni, S., Pescarini, M., Martino, F., & Nicoli, A. (2006). Testicular sperm aspiration (TESA) in 327 ICSI cycles. International Journal of Fertility and Women's Medicine, 51(4), 177-182.

Testicular sperm aspiration (TESA) in 327 ICSI cycles. / La Sala, Giovanni B.; Valli, Barbara; Leoni, Sergio; Pescarini, Michela; Martino, Ferdinando; Nicoli, Alessia.

In: International Journal of Fertility and Women's Medicine, Vol. 51, No. 4, 07.2006, p. 177-182.

Research output: Contribution to journalArticle

La Sala, GB, Valli, B, Leoni, S, Pescarini, M, Martino, F & Nicoli, A 2006, 'Testicular sperm aspiration (TESA) in 327 ICSI cycles', International Journal of Fertility and Women's Medicine, vol. 51, no. 4, pp. 177-182.
La Sala GB, Valli B, Leoni S, Pescarini M, Martino F, Nicoli A. Testicular sperm aspiration (TESA) in 327 ICSI cycles. International Journal of Fertility and Women's Medicine. 2006 Jul;51(4):177-182.
La Sala, Giovanni B. ; Valli, Barbara ; Leoni, Sergio ; Pescarini, Michela ; Martino, Ferdinando ; Nicoli, Alessia. / Testicular sperm aspiration (TESA) in 327 ICSI cycles. In: International Journal of Fertility and Women's Medicine. 2006 ; Vol. 51, No. 4. pp. 177-182.
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