Triplet pregnancy achieved through intracytoplasmic sperm injection with spermatozoa obtained by prostatic massage of a paraplegic patient: case report
| Autor: | Joan Vidal, S. Marina, Mark Grossmann, R. Alcolea, M. Carme Pons, Rosabel Expósito, Fernando Marina, Javier Nadal |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Microinjections Ejaculation medicine.medical_treatment Fertilization in Vitro Testicle Electroejaculation Intracytoplasmic sperm injection Prostate Pregnancy Semen medicine Triplet Pregnancy Humans reproductive and urinary physiology Infertility Male Spinal Cord Injuries Gynecology Massage Paraplegia Triplets Sperm Count urogenital system business.industry Rehabilitation Obstetrics and Gynecology medicine.disease Embryo Transfer Spermatozoa medicine.anatomical_structure Reproductive Medicine Sperm Motility Female business |
| Zdroj: | Human reproduction (Oxford, England). 14(6) |
| ISSN: | 0268-1161 |
| Popis: | Spinal cord-injured men with ejaculation disorders can have children thanks to assisted reproduction techniques. Spermatozoa from these patients are usually obtained through vibratory stimulation, electroejaculation or by puncturing the seminal duct or the testicle. We present the first published case, as far as we are aware, of spermatozoa obtained through prostatic massage of a paraplegic patient. Penile vibratory stimulation was unsuccessful in this patient. In-vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) with spermatozoa obtained through electroejaculation was performed at another centre but pregnancy was not achieved. Through prostatic massage, we obtained a total semen volume of 6 ml containing a total count of 12.32×10 6 spermatozoa (6.24×10 6 with tails), 8% of which had motility (graded + and + +); and 16% of which had normal morphology. The spermatozoa obtained were then used to perform IVF with ICSI and a triplet pregnancy was achieved. Prostatic massage appears to be an easy, non-traumatic and risk-free method to obtain spermatozoa from paraplegic patients. |
| Databáze: | OpenAIRE |
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