PURPOSE: We determined a rational strategy for treatment of patients with retrograde ejaculation in the era of modern assisted reproduction technology. MATERIALS AND METHODS: In 7 consecutive patients medical treatment or retrieval of spermatozoa from the bladder was performed at a male infertility clinic. RESULTS: Antegrade ejaculation was restored in 3 patients, and spermatozoa were retrieved from the bladder and used for assisted reproduction in 3. Spermatozoa with good oolemma penetrating ability were collected by seminal vesicle massage. CONCLUSIONS: Modern assisted reproduction technology is a powerful treatment option for retrograde ejaculation when combined with a technique to retrieve spermatozoa of good quality from the bladder.
PURPOSE: We determined a rational strategy for treatment of patients with retrograde ejaculation in the era of modern assisted reproduction technology. MATERIALS AND METHODS: In 7 consecutive patients medical treatment or retrieval of spermatozoa from the bladder was performed at a male infertility clinic. RESULTS: Antegrade ejaculation was restored in 3 patients, and spermatozoa were retrieved from the bladder and used for assisted reproduction in 3. Spermatozoa with good oolemma penetrating ability were collected by seminal vesicle massage. CONCLUSIONS: Modern assisted reproduction technology is a powerful treatment option for retrograde ejaculation when combined with a technique to retrieve spermatozoa of good quality from the bladder.
Authors: Sajal Gupta; Rakesh Sharma; Ashok Agarwal; Neel Parekh; Renata Finelli; Rupin Shah; Hussein Kandil; Ramadan Saleh; Mohamed Arafa; Edmund Ko; Mara Simopoulou; Armand Zini; Osvaldo Rajmil; Parviz Kavoussi; Keerti Singh; Rafael F Ambar; Haitham Elbardisi; Pallav Sengupta; Marlon Martinez; Florence Boitrelle; Marco G Alves; Kareim Khalafalla; Shubhadeep Roychoudhury; Gian Maria Busetto; Jaime Gosalvez; Nicholas Tadros; Ayad Palani; Marcelo Gabriel Rodriguez; Christina Anagnostopoulou; Sava Micic; Lucia Rocco; Taymour Mostafa; Juan G Alvarez; Sunil Jindal; Hassan Sallam; Israel Maldonado Rosas; Sheena E M Lewis; Sami AlSaid; Mesut Altan; Hyun Jun Park; Jonathan Ramsay; Sijo Parekattil; Marjan Sabbaghian; Kelton Tremellen; Paraskevi Vogiatzi; Mohammad Ali Sadighi Gilani; Donald P Evenson; Giovanni M Colpi Journal: World J Mens Health Date: 2021-06-01 Impact factor: 5.400