The diagnosis and treatment of the azoospermic patient in the age of intracytoplasmic sperm injection

被引：21

作者：

Hopps, CV

Goldstein, M

Schlegel, PN

机构：

[1] New York Weill Cornell Med Ctr, Dept Urol, New York, NY 10021 USA

[2] New York Weill Cornell Med Ctr, Cornell Inst Reprod Med, New York, NY 10021 USA

[3] Populat Council, Ctr Biomed Res, New York, NY 10021 USA

[4] Rockefeller Univ Hosp, New York, NY 10021 USA

来源：

UROLOGIC CLINICS OF NORTH AMERICA | 2002年 / 29卷 / 04期

关键词：

D O I：

10.1016/S0094-0143(02)00083-6

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Optimal management of the patient with azoospermia requires accurate diagnosis and determination of the etiology. Men with obstructive azoospermia benefit most from reconstruction. For men in whom reconstruction is not feasible, sperm retrieval techniques are highly effective when used in conjunction with intracytoplasmic sperm injection (ICSI). For most patients with nonobstructive azoospermia who remain azoospermic following the treatment of correctable conditions such as varicocele and hormone abnormalities, the application of microdissection testicular sperm extraction will yield sperm for use in ICSI. The advent of ICSI has dramatically changed the treatment of azoospermia, allowing men with severe male factor infertility, previously considered sterile, the possibility to produce biologic offspring.

引用

页码：895 / +

页数：18

共 75 条

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