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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1997-4-3
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pubmed:abstractText |
The reasons for the discrepancy between 'patency' and 'pregnancy' in the outcome of microsurgical refertilization are partially unknown. The quality of the intra-operative aspirate and of the spermatozoa at the level of the anastomosis are discussed worldwide as important factors influencing the success of fertilization in the case of post-operative patency. In 152 men undergoing microsurgical refertilization (vasovasostomy, tubulovasostomy, microsurgical epididymal sperm aspiration, transurethral resection of the ejaculatory duct), 281 aspirates were classified intra-operatively according to Silber, and post-operatively using the Shorr staining technique. In 62 aspirates a computer-aided sperm analysis (CASA) was performed. The percentage of intact spermatozoa decreased from 94.9% at the caput to 9.4% at the cauda epididymidis. The post-operative classification demonstrated an acceptable correlation (0.71) to all grades of intraoperative classification. There was a good correspondence in Silber 4 and 5 but worse in Silber 1 and 2. In CASA, the percentage of motile spermatozoa was not different between epididymal and post-epididymal aspirates. Furthermore, velocity parameters did not differ significantly, but there was a significantly higher straightness of post-epididymal spermatozoa in comparison to epididymal spermatozoa.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0303-4569
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
61-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9017098-Adult,
pubmed-meshheading:9017098-Cell Separation,
pubmed-meshheading:9017098-Epididymis,
pubmed-meshheading:9017098-Humans,
pubmed-meshheading:9017098-Inhalation,
pubmed-meshheading:9017098-Intraoperative Period,
pubmed-meshheading:9017098-Male,
pubmed-meshheading:9017098-Microsurgery,
pubmed-meshheading:9017098-Middle Aged,
pubmed-meshheading:9017098-Oligospermia,
pubmed-meshheading:9017098-Sperm Motility,
pubmed-meshheading:9017098-Spermatozoa,
pubmed-meshheading:9017098-Testis
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pubmed:year |
1996
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pubmed:articleTitle |
Analysis of intra-operative aspirates taken during microsurgical refertilization in obstructive azoospermia--preliminary results. The BMFT Study Group for Microsurgery, Giessen.
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pubmed:affiliation |
Department of Urology, University of Giessen, Germany.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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