Three cases of sperm immobility for intracytoplasmic sperm injection using testicular sperm

被引:0
作者
Mimura, Noboru [1 ]
Takeshima, Teppei [1 ]
Aoki, Shun [1 ]
Saito, Tomoki [1 ]
Karibe, Jurii [1 ]
Yumura, Yasushi [1 ]
机构
[1] Yokohama City Univ, Med Ctr, Reprod Ctr, Dept Urol, Urafune Cho 4-57,Minami Ku, Yokohama, Kanagawa 2320024, Japan
关键词
intracytoplasmic sperm injection; Kartagener's syndrome; multiple morphological abnormalities of the sperm flagella; primary ciliary dyskinesia; sperm immobility; PRIMARY CILIARY DYSKINESIA; SPERMATOZOA; MUTATIONS;
D O I
10.1002/iju5.12702
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Sperm immobility is a condition in which sperm are viable but not motile. We reported three patients with sperm immobility, who underwent testicular sperm extraction-intracytoplasmic sperm injection. Case presentation: In case 1, a 32-year-old patient with sperm immobility had previously undergone intracytoplasmic sperm injection with ejaculated sperm; however, pregnancy was unsuccessful. testicular sperm extraction-intracytoplasmic sperm injection was performed at our clinic, and pregnancy was achieved. In case 2, a 23-year-old patient with clinical varicocele whose semen analysis revealed sperm immobility underwent varicocelectomy, without improvement. Using the hypo-osmotic swelling test technique, testicular sperm extraction-intracytoplasmic sperm injection was performed; however, pregnancy was not achieved. In case 3, a 44-year-old patient with sperm immobility underwent testicular sperm extraction, and motile sperm were retrieved. testicular sperm extraction-intracytoplasmic sperm injection using these sperm resulted in pregnancy. Conclusion: Although testicular sperm extraction-intracytoplasmic sperm injection is not considered a solution in patients with sperm immobility, pregnancies were achieved. testicular sperm extraction-intracytoplasmic sperm injection may be successful in some cases in which ejaculated sperm intracytoplasmic sperm injection is unsuitable.
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页码:210 / 212
页数:3
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