EFFICACY OF SURGICAL SPERM RETRIEVAL IN AZOOSPERMIC PATIENT AND ITS CONTRIBUTION TO IN VITRO RERTILIZATION PROGRAM

  • I Putu Gde Sanjaya Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
  • Ponco Birowo Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
  • Nur Rasyid Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
  • Ivan Rizal Sini Indonesian Reproductive Science Institute (IRSI) – Bunda Hospital, Jakarta.
  • Budi Wiweko Indonesian Reproductive Medicine Research and Training Center (INA REPROMED), Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Keywords: Azoospermia, Surgical Sperm Retrieval, PESA, MESA, TESE, IVF

Abstract

Objective: This study was made to evaluate efficacy and success rate of Percutaneous Epididymal Sperm Aspiration (PESA), Microsurgical Epididymal Sperm Aspiration (MESA), or Testicular Sperm Extraction (TESE) in azoopsermic patients, and evaluate IVF program’s pregnancy rate by comparing methods of sperm retrieval. Material & method: A descriptive retrospective study to azoospermic patients undergone PESA, MESA or TESE and IVF program in Bunda Hospital Jakarta and Cipto Mangunkusumo Hospital Jakarta in 2011–2012. The data were collected from patients’ medical records and IVF program’s database. Results: There were 146 azoospermic patients with mean age 38.97 ± 7.35 years. Viable sperm was found in 46 patients (31.5%) by PESA and 47 patients (32.2%) by MESA and TESE. The IVF program was followed by 72 patients. Sperm was retrieved by PESA in 43 patients (59.7%) and TESE in 29 patients (40.3%). Pregnancy was achieved in 18 patients in PESA group (25%) and 15 patients (20.8%) in TESE group. Conclusion: Sperm can be retrieved from azoospermic patients by PESA, MESA or TESE, and there was good success rate in pregnancy rate of IVF program by using surgically retrieved sperm.

Author Biographies

I Putu Gde Sanjaya, Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Ponco Birowo, Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Nur Rasyid, Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Department of Urology, Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Ivan Rizal Sini, Indonesian Reproductive Science Institute (IRSI) – Bunda Hospital, Jakarta.
Indonesian Reproductive Science Institute (IRSI) – Bunda Hospital, Jakarta.
Budi Wiweko, Indonesian Reproductive Medicine Research and Training Center (INA REPROMED), Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.
Indonesian Reproductive Medicine Research and Training Center (INA REPROMED), Faculty of Medicine/Indonesia University, Cipto Mangunkusumo General Hospital, Jakarta.

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Published
2015-10-01
Section
Articles