Experience With Vasal Sperm Aspiration

Levine, Laurence A.; Fakouri, Bejan

doi:10.1097/00005392-199805000-00039

Cited by 21 publications

(2 citation statements)

References 14 publications

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“…Because of ICSI, methods were developed to obtain sperm from men with little or no sperm in their ejaculate. These methods included retrieval of sperm from the testicle (28,31,32), the epididymis (27,30), and the vas deferens (36,37). Sperm retrieved from these structures, in combination with ICSI, resulted in PRs between 30% and 60% (51, 52).…”

Section: Discussionmentioning

confidence: 99%

Current trends in the treatment of infertility in men with spinal cord injury

Kafetsoulis

Brackett

Ibrahim

et al. 2006

Fertility and Sterility

102

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Section: Discussionmentioning

confidence: 99%

Current trends in the treatment of infertility in men with spinal cord injury

Kafetsoulis

Brackett

Ibrahim

et al. 2006

Fertility and Sterility

102

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“…For patients suffering from AE but not spinal cord injury (SCI), drug therapy for the reversal of AE was conducted almost exclusively with alpha agonistic drugs (imipramine, ephedrine, pseudoephedrine). Only one author treated one SCI patient unsuccessfully with alpha agonistic drugs (Levine & Fakouri, 1998). In contrast, parasympathomimetic (acethylcholine esterase antagonists) drugs (physostigmine, neostigmine) for reversal of AE were almost exclusively used in patients with AE following spinal cord injury and only one patient with idiopathic AE was treated with physostigmine (Vanderschueren et al ., 1998).…”

Section: Medical Treatment For Reversal Of Aementioning

confidence: 99%

Update on medical treatment of ejaculatory disorders¹

Kamischke¹,

Nieschlag²

2002

Int J of Andrology

118

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Among the treatment modalities for ejaculatory disorders pharmacological treatment is the least invasive option. In this review, medical treatments for retrograde ejaculation (RE) and anejaculation (AE) are discussed systematically. Thirty-six studies dealing with patients with RE and 40 with AE evaluated the use of medical treatment and were included in this review. In addition four articles dealing with prostatic massage in anejaculatory patients were considered. Sperm quality in patients with retrograde and AE is often impaired. In patients with RE no differences in response to medical treatment could be detected between the different underlying diagnoses. Compared with ephedrine, imipramine and chlorpheniramine + phenylpropanalamine showed significantly higher reversal rates, while differences between the other treatments were not significant. Regarding the reversal of AE, the alpha agonistic drugs were significantly inferior to treatment with parasympathetic drugs. Of the different alpha agonistic medical treatments for the reversal of AE, milodrin showed significantly better rates than imipramine (p = 0.008), pseudoephidrine (p = 0.02) and ephedrine (p = 0.044), while all other treatments were not significantly different (p = 0.4). In conclusion, medical treatment for reversal of RE offers a realistic chance of conceiving offspring naturally and should be the treatment modality of first choice. In contrast, in AE, medical treatment cannot be recommended generally as treatment of first choice as it shows low overall success rates compared with electrovibration stimulation and electroejaculation. Under consideration of the mostly uncontrolled design of the majority of studies published, controlled clinical trials comparing different treatment options appear urgently warranted.

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