PERCUTANEOUS VASAL SPERM ASPIRATION AND INTRAUTERINE INSEMINATION IN THE TREATMENT OF OBSTRUCTIVE AZOOSPERMIA

Objective: To treat obstructive azoospermia by using sperm recovered f rom percutaneous vasal sperm aspiration in IUI. Design: Clinical study . Setting: Institutional clinic in Jinan. Patient(s): Six men with obs tructive azoospermia, three of whom were treated with percutaneous vas al sperm aspiration and IUI; sperm recovered from this procedure were used for IUIs. Intervention(s): Spermatozoa used for intrauterine inje ction were retrieved by percutaneous vasal sperm aspiration and incuba ted at 37 degrees C for 40 to 60 minutes. Main Outcome Measure(s): Nor mal pregnancy. Result(s): Intrauterine insemination was performed in t hree patients for one or two cycles, with motile spermatozoa. There wa s one successful term delivery.Conclusion(s): Percutaneous vasal sperm aspiration can be used successfully to recover sperm in men with obst ructive azoospermia for use in IUI. The technique is simple and less t raumatic than an open surgical procedure. (C) 1997 by American Society for Reproductive Medicine.