1802: A Decision analysis of Treatments for Obstructive Azoospermia

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A decision analysis of treatments for obstructive azoospermia.

BACKGROUND Treatments for post-vasectomy obstructive azoospermia include vasectomy reversal, microsurgical epididymal sperm aspiration (MESA) or percutaneous testicular sperm extraction (TESE) with IVF/ICSI. We examined the cost-effectiveness of these treatments. METHODS A decision analytic model was created to simulate treatment. Outcome probabilities were derived from peer-reviewed literatu...

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A decision analysis of treatments for nonobstructive azoospermia associated with varicocele.

OBJECTIVE To examine the economic impact of initial treatments for varicocele-associated nonobstructive azoospermia, specifically varicocelectomy versus microsurgical testicular sperm extraction (TESE) with IVF/intracytoplasmic sperm injection (ICSI). DESIGN Decision analytic model based on 1) outcomes data from Society for Assisted Reproductive Technology (SART) database and peer-reviewed li...

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Obstructive azoospermia

Obstructive azoospermia (OA) is defined as the absence of spermatozoa in the ejaculate despite normal spermatogenesis, but either a mechanical blockage exists in the genital tract between the epididymis and the ejaculatory duct or the vasa deferentia are absent. A normal testicular biopsy is pathognomonic for obstruction, and a vasography should be indicated to identify the site of the obstruct...

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Obstructive and Non-Obstructive Azoospermia

Azoospermia is defined as the complete absence of spermatozoa upon examination of the semen [including capillary tube centrifugation (CTC), strictly confirmed by the absence of spermatozoa issued in urine after ejaculation]. The presence of rare spermatozoa (<500.000/ml) in seminal fluid after centrifugation is called "cryptozoospermia". The complete absence of spermatozoa should be confirmed w...

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Microsurgical vasoepididymostomy for obstructive azoospermia

Infertility is defined as the inability to conceive after 1 year of regular unprotected sexual intercourse. About 15% of couples are affected. Male factors account for about 50% of couples with infertility.1 Approximately 10 to 15% of infertile men suffer from azoospermia—complete absence of sperms in the ejaculate. Among these azoospermic patients, approximately 40% have complete obstruction i...

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ژورنال

عنوان ژورنال: Journal of Urology

سال: 2007

ISSN: 0022-5347,1527-3792

DOI: 10.1016/s0022-5347(18)31989-x