Article

The introduction of advanced assisted reproduction technologies (ART) has created opportunities for the treatment of infertility among patients with myelomeningocele (MMC). Th aim of this study was to assess the possibility of semen retrieval and to analyse the semen quality in men with MMC. Nine men, aged 22 to 39 with MMC participated in the study. Two participants wereable ti achieve unassisted ejaculation. Vibratory stimulation was unsuccessfully attempted inthe remaining seven participants who then underwent electroejaculation under general anaesthesia. In total, enough spermatozoa for intrasytoplasmic spetozoa injection were retrieved from five participants. In fiur cases, no spermatozoa were observed in the ejaculates. Testicular biopsies, however, revealed spermatogenesis, and thus, a reproductive potential, in one of these men. Therfoe, in six of the nine men with MMC, fatherhood seemed to be possible with modern ART, despite the semen quality generally being very poor.

Langue : ANGLAIS

Identifiant basis : 2000213569