Microdissection Testicular Sperm Extraction (MicroTESE) and IVF-ICSI Outcome in Non-Obstructive Azoospermia (NOA) - Full Text View

Sponsored by:	Clinic and Research Center in Human Reproduction Roger Abdelmassih
Information provided by:	Clinic and Research Center in Human Reproduction Roger Abdelmassih
ClinicalTrials.gov Identifier:	NCT00484081

Purpose

We evaluated the application of surgical testicular exploration with the aid of a microscope (MictoTESE) to increase the chances of obtaining sperm in men with impaired sperm production, a condition known as non-obstructive azoospermia.

We also evaluated the outcomes of these couples when the sperm obtained were used in ICSI (Intracytoplasmic Sperm Injection) during assisted reproductive technology treatment.

We believe that excellent results may be obtained with the use of the following techniques in the treatment of couples where non-obstructive azoospermia is a significant cause.

Condition	Intervention
Azoospermia Infertility	Procedure: Microdissection Testicular Sperm Extraction Procedure: ICSI

MedlinePlus related topics: Infertility

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Official Title:	Prospective Evaluation of Microdissection Testicular Sperm Extraction in Non-Obstructive Azoospermic Men and Their IVF-ICSI Related Outcomes at ART Treatment.

Further study details as provided by Clinic and Research Center in Human Reproduction Roger Abdelmassih:

Primary Outcome Measures:

Sperm retrieval rate,mean male and female partner age,mean ICSI and fertilized oocytes, implantation, pregnancy and miscarriage rates.Testicular histology was also compared. [ Time Frame: 17 months ]

Secondary Outcome Measures:

Sperm retrieval associated to pre-operative serum FSH, LH, Total Testosterone,Prolactin, testicular volume and post-operative testicular histology. ICSI and pregnancy results associated to sperm motility. [ Time Frame: 17 months ]

Enrollment:	53
Study Start Date:	June 2005
Study Completion Date:	October 2006

Detailed Description:

Men diagnosed with non-obstructive azoospermia and seeking assisted reproductive technology treatment (ART) are candidates for surgical sperm retrieval with the aid of microdissection. We believe that this approach may currently be the best option for these subjects.

We evaluated our surgical sperm retrieval rate associated to their serum LH, FSH, TOTAL TESTOTERONE and PROLACTIN levels, pre-operative testicular volume and also compared to the post-operative histological analysis of fixed testicular tissue specimens collected during the procedure, stained with haematoxylin and eosin.

We also evaluated the outcomes using ICSI based ART for these couples observing mean ICSI and fertilized oocytes, number and quality of embryos transferred, implantation and pregnancy rates.

Eligibility

Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Men undergoing ART treatment with clinical diagnosis of non-obstructive azoospermia.
Female partner undergoing ICSI based ART treatment

Exclusion Criteria:

Men where non-obstructive azoospermia was not confirmed based on histological analysis of fixed testicular tissue specimens collected by open surgical testicular biopsy and stained with haematoxylin and eosin.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00484081

Locations

Brazil, SP
Clinic and Research Center in Human Reproduction Roger Abdelmassih
São Paulo, SP, Brazil, 01431-000

Sponsors and Collaborators

Clinic and Research Center in Human Reproduction Roger Abdelmassih

Investigators

Principal Investigator:

Pedro Ravizzini, Dr.

Clinic and Research Center in Human Reproduction Roger Abdelmassih

More Information

Study ID Numbers:	RA9969
Study First Received:	June 6, 2007
Last Updated:	June 7, 2007
ClinicalTrials.gov Identifier:	NCT00484081
Health Authority:	Brazil: Ministry of Health

Keywords provided by Clinic and Research Center in Human Reproduction Roger Abdelmassih:

TESE
NON-OBSTRUCTIVE
MICRODISSECTION
AZOOSPERMIA
ICSI

Study placed in the following topic categories:

Genital Diseases, Female
Infertility
Azoospermia

Infertility, Male
Spastic paraplegia epilepsy mental retardation
Genital Diseases, Male

ClinicalTrials.gov processed this record on January 16, 2009