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Xu X, Li W, Zhang L, Ji Y, Qin J, Wang L, Wang M, Qi L, Xue J, Lv B, Zhang X, Xue Z. Effect of Sperm Cryopreservation on miRNA Expression and Early Embryonic Development. Front Cell Dev Biol 2022; 9:749486. [PMID: 35004670 PMCID: PMC8728010 DOI: 10.3389/fcell.2021.749486] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 11/09/2021] [Indexed: 12/26/2022] Open
Abstract
Although sperm preservation is a common means of personal fertility preservation, its effects on embryonic development potential need further investigation. The purpose of this study was to identify key microRNA (miRNA) in cryopreserved sperm and determine the changes of these miRNAs and their target genes during embryonic development using cryopreserved sperm. Moreover, the embryonic development potential of cryopreserved sperm was estimated in assisted reproductive technology (ART), where key miRNAs and target genes were validated in sperm and subsequent embryos. Clinical data of embryonic development from cryopreserved sperm indicated a significant decrease in fertilization rate in both in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) cases, as well as a reduction in blastocyst formation rate in ICSI cases. Meanwhile there was a significant increase in blocked embryo ratio of Day1, Day2, and Day3.5 embryos when frozen-thawed mouse sperm was used, compared with fresh mouse sperm, suggesting a potential negative effect of sperm cryopreservation on embryonic development. From frozen-thawed and fresh sperm in humans and mice, respectively, 21 and 95 differentially expressed miRNAs (DEmiRs) were detected. miR-148b-3p were downregulated in both human and mouse frozen-thawed sperm and were also decreased in embryos after fertilization using cryopreserved sperm. Target genes of miR-148b-3p, Pten, was identified in mouse embryos using quantitative real-time PCR (qRT-PCR) and Western blot (WB). In addition, common characters of cryopreservation of mouse oocytes compared with sperm were also detected; downregulation of miR-148b-3p was also confirmed in cryopreserved oocytes. In summary, our study suggested that cryopreservation of sperm could change the expression of miRNAs, especially the miR-148b-3p across humans and mice, and may further affect fertilization and embryo development by increasing the expression of Pten. Moreover, downregulation of miR-148b-3p induced by cryopreservation was conserved in mouse gametes.
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Affiliation(s)
- Xiaoyu Xu
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China
| | - Wanqiong Li
- Reproductive Medicine Center, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
| | - Lina Zhang
- Reproductive Medicine Center, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
| | - Yazhong Ji
- Reproductive Medicine Center, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
| | - Jiaying Qin
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China
| | - Lu Wang
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China
| | - Mingwen Wang
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China
| | - Lingbin Qi
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China
| | - Jinfeng Xue
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China
| | - Bo Lv
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China
| | - Xunyi Zhang
- Reproductive Medicine Center, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
| | - Zhigang Xue
- Department of Regenerative Medicine, Tongji University School of Medicine, Shanghai, China.,Reproductive Medicine Center, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
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Ibrahim E, Jensen CFS, Sunara I, Khodamoradi K, Aballa TC, Elliott S, Sonksen J, Ohl DA, Hultling C, Lynne CM, Seager SWJ, Brackett NL. Evaluation of a re-engineered device for penile vibratory stimulation in men with spinal cord injury. Spinal Cord 2020; 59:151-158. [PMID: 32665708 DOI: 10.1038/s41393-020-0515-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 06/25/2020] [Accepted: 06/26/2020] [Indexed: 11/10/2022]
Abstract
STUDY DESIGN Cohort study OBJECTIVES: The purpose of this study was to evaluate the performance of a re-engineered device (Ferticare 2.0), which is replacing the previous standard (Ferticare 1.0) for penile vibratory stimulation in men with spinal cord injury. Most men with spinal cord injury are anejaculatory, requiring medical assistance to obtain their semen. Penile vibratory stimulation is generally recognized as the standard of care for semen retrieval in these anejaculatory men. SETTING Major Research University in Miami, Florida, USA. METHODS The Ferticare 2.0 device was applied to 15 men with spinal cord injury in a three-step protocol simulating normal use. Step 1: one device (2.5 mm amplitude, 100 Hz) was applied to the glans penis for 2 min. Step 2: If no ejaculation occurred, the amplitude was increased to 4.0 mm (100 Hz) and the device similarly applied. Step 3: If no ejaculation occurred, two devices, each 2.5 mm and 100 Hz were applied to the dorsum and frenulum of the glans penis. Participants at risk for autonomic dysreflexia were pretreated with sublingual nifedipine (20 mg), 15 min prior to stimulation. Blood pressure and other symptoms of autonomic dysreflexia were monitored. Participants answered a questionnaire about their experience with the device. RESULTS Thirteen of 15 participants ejaculated with the device. No adverse events occurred. All participants commented they would recommend the device to other men with spinal cord injury. CONCLUSIONS A re-engineered device, the Ferticare 2.0, is safe and effective for inducing ejaculation in men with spinal cord injury.
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Affiliation(s)
- Emad Ibrahim
- Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
| | - Christian F S Jensen
- Department of Urology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark
| | - Ivan Sunara
- Department of Neurobiology, Care Science and Society, Spinalis Spinal Cord Injury Unit, Karolinska Institute, Stockholm, Sweden
| | - Kajal Khodamoradi
- Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Teodoro C Aballa
- Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Stacy Elliott
- Departments of Psychiatry and Urological Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Jens Sonksen
- Department of Urology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark
| | - Dana A Ohl
- Department of Urology, University of Michigan, Ann Arbor, MI, USA
| | - Claes Hultling
- Department of Neurobiology, Care Science and Society, Spinalis Spinal Cord Injury Unit, Karolinska Institute, Stockholm, Sweden
| | - Charles M Lynne
- Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA
| | | | - Nancy L Brackett
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA
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Cito G, Picone R, Fucci R, Del Popolo G, Cocci A, Gemma L, Lombardi G, Minervini A, Carini M, Natali A, Coccia ME. Reproductive Outcomes in Infertile Men With Spinal Cord Injury (SCI): A Retrospective Case-Control Analysis. Urology 2020; 141:82-88. [DOI: 10.1016/j.urology.2020.03.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 02/17/2020] [Accepted: 03/29/2020] [Indexed: 10/24/2022]
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4
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Gray M, Zillioux J, Khourdaji I, Smith RP. Contemporary management of ejaculatory dysfunction. Transl Androl Urol 2018; 7:686-702. [PMID: 30211060 PMCID: PMC6127532 DOI: 10.21037/tau.2018.06.20] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Although erectile dysfunction is the most common disorder of male sexual health, ejaculatory dysfunction is the most common form of sexual dysfunction experienced by men. Ejaculatory dysfunction covers a broad range of disorders that we have divided into four main categories: premature ejaculation, delayed ejaculation (DE)/anorgasmia, unsatisfactory sensation of ejaculation (including painful ejaculation and ejaculatory anhedonia), and absent ejaculate (including retrograde ejaculation and aspermia). We also cover several special scenarios including hematospermia, spinal cord injury and fertility with anejaculation. In this paper, we will review the anatomy and pathophysiology of normal ejaculation to establish the baseline knowledge of how this pathway can go awry. We will then briefly review the critical diagnostic criteria, pertinent steps in evaluation, risk factors, and causes (if known) for each of the ejaculatory disorders. Finally, the bulk of the paper will discuss current management strategies of each disorder.
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Affiliation(s)
- Marisa Gray
- Department of Urology, University of Virginia, Charlottesville, VA, USA
| | | | - Iyad Khourdaji
- Department of Urology, University of Virginia, Charlottesville, VA, USA
| | - Ryan P Smith
- Department of Urology, University of Virginia, Charlottesville, VA, USA
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Kasum M, Orešković S, Kordić M, Čehić E, Hauptman D, Ejubović E, Lila A, Smolčić G. Improvement of Sexual and Reproductive Function in Men with Spinal Cord Lesion. Acta Clin Croat 2018; 57:149-156. [PMID: 30256024 PMCID: PMC6400349 DOI: 10.20471/acc.2018.57.01.19] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
SUMMARY – The aim of the review is to establish sexual and reproductive functions in men with spinal cord lesion (SCL). Many sexual and reproductive dysfunctions may be found in these patients including individual’s low self-esteem, delay of orgasm, erectile or ejaculatory disorder and abnormalities of semen, which are characterized by lower sperm motility or viability. Owing to improvements in physical medicine and rehabilitation, the focus has been shifted from keeping patients alive towards ensuring the quality of life and improvements of sexual dysfunctions and later reproduction. Erectile dysfunction can be treated by using phosphodiesterase-5 inhibitors, intracavernosal injections, vacuum devices and penile prostheses. Semen can be retrieved from anejaculatory patients by medically assisted methods utilizing penile vibratory stimulation, electroejaculation, prostate massage, or surgically. Although there is low chance for pregnancy in natural way in most of SCL patients, fatherhood is possible through the introduction of assisted medical management. By use of various medical, technical and surgical procedures for sperm retrieval combined with assisted reproductive methods, high pregnancy rates have been reported comparable to those in able-bodied subfertile patients. Nevertheless, future studies are needed to improve semen quality and methods of assisted ejaculation in patients with SCL.
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Affiliation(s)
| | - Slavko Orešković
- University Department of Obstetrics and Gynecology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Mario Kordić
- Department of Urology, Mostar University Clinical Hospital, Mostar, Bosnia and Herzegovina
| | - Ermin Čehić
- Department of Obstetrics and Gynecology, Zenica Cantonal Hospital, Zenica, Bosnia and Herzegovina
| | - Dinko Hauptman
- Department of Urology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Emina Ejubović
- Department of Obstetrics and Gynecology, Zenica Cantonal Hospital, Zenica, Bosnia and Herzegovina
| | - Albert Lila
- Kosovo Occupational Health Institute, Giakove, Kosovo
| | - Gordana Smolčić
- University Department of Obstetrics and Gynecology, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
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Reignier A, Lammers J, Splingart C, Redhead D, Labat JJ, Mirallié S, Barrière P, Fréour T. Sperm cryopreservation and assisted reproductive technology outcome in patients with spinal cord injury. Andrologia 2017; 50. [DOI: 10.1111/and.12833] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2017] [Indexed: 01/19/2023] Open
Affiliation(s)
- A. Reignier
- Service de médecine et biologie du développement et de la reproduction; CHU de Nantes; Nantes France
- INSERM UMR1064; Nantes France
- Faculte de médecine; Université de Nantes; Nantes France
| | - J. Lammers
- Service de médecine et biologie du développement et de la reproduction; CHU de Nantes; Nantes France
- INSERM UMR1064; Nantes France
| | - C. Splingart
- Service de médecine et biologie du développement et de la reproduction; CHU de Nantes; Nantes France
- INSERM UMR1064; Nantes France
| | - D. Redhead
- Service de médecine et biologie du développement et de la reproduction; CHU de Nantes; Nantes France
| | - J. J. Labat
- Centre fédératif de pelvi-périnéologie; CHU de Nantes; Nantes France
- Clinique urologique; CHU de Nantes; Nantes France
| | - S. Mirallié
- Service de médecine et biologie du développement et de la reproduction; CHU de Nantes; Nantes France
| | - P. Barrière
- Service de médecine et biologie du développement et de la reproduction; CHU de Nantes; Nantes France
- INSERM UMR1064; Nantes France
- Faculte de médecine; Université de Nantes; Nantes France
| | - T. Fréour
- Service de médecine et biologie du développement et de la reproduction; CHU de Nantes; Nantes France
- INSERM UMR1064; Nantes France
- Faculte de médecine; Université de Nantes; Nantes France
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7
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Ibrahim E, Brackett NL, Lynne CM. Advances in the management of infertility in men with spinal cord injury. Asian J Androl 2017; 18:382-90. [PMID: 27048781 PMCID: PMC4854086 DOI: 10.4103/1008-682x.178851] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
Couples with a spinal cord injured male partner require assisted ejaculation techniques to collect semen that can then be further used in various assisted reproductive technology methods to achieve a pregnancy. The majority of men sustaining a spinal cord injury regardless of the cause or the level of injury cannot ejaculate during sexual intercourse. Only a small minority can ejaculate by masturbation. Penile vibratory stimulation and electroejaculation are the two most common methods used to retrieve sperm. Other techniques such as prostatic massage and the adjunct application of other medications can be used, but the results are inconsistent. Surgical sperm retrieval should be considered as a last resort if all other methods fail. Special attention must be paid to patients with T6 and rostral levels of injury due to the risk of autonomic dysreflexia resulting from stimulation below the level of injury. Bladder preparation should be performed before stimulation if retrograde ejaculation is anticipated. Erectile dysfunction is ubiquitous in the spinal cord injured population but is usually easily managed and does not pose a barrier to semen retrieval in these men. Semen analysis parameters of men with spinal cord injury are unique for this population regardless of the method of retrieval, generally presenting as normal sperm concentration but abnormally low sperm motility and viability. When sperm retrieval is desired in this population, emphasis should be placed on initially trying the simple methods of penile vibratory stimulation or electroejaculation before resorting to more advanced and invasive surgical procedures.
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Affiliation(s)
| | - Nancy L Brackett
- The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL; Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA
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Abstract
Young men comprise the overwhelming majority of men with spinal cord injury (SCI), the incidence of which has been growing over the years. Due to advances in physical medicine and rehabilitation, remarkable improvements in survival rates have been reported, leading to life expectancies similar to those of the general population. However, many sexual and reproductive functions may be impaired due to erectile or ejaculatory dysfunction and semen abnormalities, characterised by low-sperm motility or viability in SCI males who have not become parents yet. Nevertheless, fatherhood is still possible through the introduction of specialised medical management, by using various medical, technical and surgical methods for sperm retrieval in combination with assisted reproductive techniques. Erectile dysfunction can be managed by the use of phosphodiesterase-5 inhibitors, intracavernosal injections, vacuum devices and penile prostheses. Semen can be obtained from the vast majority of anejaculatory men by medically assisted ejaculation through the use of penile vibratory stimulation or electroejaculation and via prostate massage or surgical procedures. Despite impaired sperm parameters, reasonable pregnancy rates similar to those in able-bodied subfertile cohorts have been reported. However, future research should focus on the optimisation of semen quality in these men and on improving natural ejaculation.
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Affiliation(s)
- Ermin Čehić
- a Human Reproduction Unit, Cantonal Hospital Zenica , Zenica , Bosnia and Herzegovina
| | - Miro Kasum
- b Department of Obstetrics and Gynaecology , School of Medicine, University Hospital Centre Zagreb, University of Zagreb , Zagreb , Croatia , and
| | - Velimir Šimunić
- c Human Reproduction Unit, Polyclinic IVF , Zagreb , Croatia
| | - Slavko Orešković
- b Department of Obstetrics and Gynaecology , School of Medicine, University Hospital Centre Zagreb, University of Zagreb , Zagreb , Croatia , and
| | - Goran Vujić
- b Department of Obstetrics and Gynaecology , School of Medicine, University Hospital Centre Zagreb, University of Zagreb , Zagreb , Croatia , and
| | - Franjo Grgić
- b Department of Obstetrics and Gynaecology , School of Medicine, University Hospital Centre Zagreb, University of Zagreb , Zagreb , Croatia , and
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9
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Kanto S. Editorial Comment from Dr Kanto to Testicular sperm extraction for patients with spinal cord injury-related anejaculation: A single-center experience. Int J Urol 2016; 23:1028-1029. [PMID: 27862332 DOI: 10.1111/iju.13257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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10
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Iwahata T, Shin T, Shimomura Y, Suzuki K, Kobayashi T, Miyata A, Kobori Y, Soh S, Okada H. Testicular sperm extraction for patients with spinal cord injury-related anejaculation: A single-center experience. Int J Urol 2016; 23:1024-1027. [PMID: 27766729 DOI: 10.1111/iju.13226] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Accepted: 09/06/2016] [Indexed: 01/22/2023]
Abstract
OBJECTIVES To present a single-center experience with testicular sperm extraction and intracytoplasmic sperm injection for fathering biological children in patients with ejaculatory dysfunction as a result of spinal cord injury. METHODS Testicular sperm extraction was carried out in 52 male patients with ejaculatory dysfunction as a result of spinal cord injury. We investigated sperm retrieval rates and pregnancy rates from medical records. Data on age, testicular volume, hormonal status (luteinizing hormone, follicle stimulating hormone and testosterone), and time since spinal cord injury were obtained and analyzed to detect potential associations with the presence of spermatogenesis. RESULTS Testicular sperm retrieval was achieved in 42 of 52 patients (80.7%). Intracytoplasmic sperm injection was carried out for 37 patients, and pregnancy was achieved in 32 (86.5%). The take-home baby rate was 70.2%. In the group with successful sperm extraction, testicular volume was significantly greater, time from spinal cord injury to extraction was significantly shorter, and serum luteinizing hormone and follicle-stimulating hormone levels were significantly lower. Serum follicle-stimulating hormone levels had the strongest association with feasibility of sperm retrieval by testicular sperm extraction. Furthermore, the sperm retrieval rates of patients injured within the preceding 12 years were significantly better than those injured longer before treatment (P = 0.045). CONCLUSIONS Testicular sperm extraction and intracytoplasmic sperm injection seem to provide favorable results for patients with ejaculatory dysfunction as a result of spinal cord injury. However, early testicular sperm extraction is recommended, because sperm retrieval becomes more difficult with time from spinal cord injury.
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Affiliation(s)
- Toshiyuki Iwahata
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Takeshi Shin
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan.,Center for Reproductive Medicine, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Yukihito Shimomura
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Keisuke Suzuki
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Tomohiro Kobayashi
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Akane Miyata
- Center for Reproductive Medicine, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Yoshitomo Kobori
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Shigehiro Soh
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
| | - Hiroshi Okada
- Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan.,Center for Reproductive Medicine, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan
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11
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Trofimenko V, Hotaling JM. Fertility treatment in spinal cord injury and other neurologic disease. Transl Androl Urol 2016; 5:102-16. [PMID: 26904416 PMCID: PMC4739989 DOI: 10.3978/j.issn.2223-4683.2015.12.10] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Infertility in individuals with neurologic disorders is complex in etiology and manifestation. Its management therefore often requires a multimodal approach. This review addresses the implications of spinal cord injury (SCI) and other neurologic disease on fertility, including the high prevalence of sexual dysfunction, ejaculation disorders and compromised semen parameters. Available treatment approaches discussed include assisted ejaculation techniques and assisted reproductive technology including surgical sperm retrieval and intracytoplasmic sperm injection (ICSI).
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Affiliation(s)
- Vera Trofimenko
- 1 Division of Urology, University of Utah, Salt Lake City, Utah, USA ; 2 Center for Reconstructive Urology and Men's Health, Division of Urology, University of Utah, Salt Lake City, Utah, USA
| | - James M Hotaling
- 1 Division of Urology, University of Utah, Salt Lake City, Utah, USA ; 2 Center for Reconstructive Urology and Men's Health, Division of Urology, University of Utah, Salt Lake City, Utah, USA
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Krebs J, Göcking K, Kissling-Niggli M, Pannek J. Cross-sectional study of the sperm quality in semen samples from spinal cord injured men after long-term cryopreservation. Andrology 2015; 3:213-9. [DOI: 10.1111/andr.12017] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Revised: 01/06/2015] [Accepted: 01/15/2015] [Indexed: 11/27/2022]
Affiliation(s)
- J. Krebs
- Clinical Trial Unit; Swiss Paraplegic Centre; Nottwil Switzerland
| | - K. Göcking
- Neurourology; Swiss Paraplegic Centre; Nottwil Switzerland
| | | | - J. Pannek
- Neurourology; Swiss Paraplegic Centre; Nottwil Switzerland
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13
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Kanto S, Yamasaki K, Iwamoto T. Progressing management of non-obstructive azoospermia in the era of microdissection testicular sperm extraction. Reprod Med Biol 2014; 13:119-125. [PMID: 29699155 DOI: 10.1007/s12522-014-0178-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Accepted: 02/13/2014] [Indexed: 10/25/2022] Open
Abstract
Previously, it was absolutely impossible for azoospermic men to reproduce except in some obstructive azoospermic cases for whom reconstruction of the seminal pathway was successful. However, nowadays, intracytoplasmic sperm injection and microdissection testicular sperm extraction have brought about chances of biological paternity in some non-obstructive azoospermic men. It is almost 15 years since the first trials of testicular sperm retrieval using surgical microscopy for non-obstructive azoospermia were reported. In this manuscript, the progress and outcomes of these novel techniques since then are reviewed, the controversial points are discussed and the latest research to achieve pregnancies in tough non-obstructive azoospermic couples are introduced. Not only the bright side of the renovations, but the underlying concerns are also discussed.
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Affiliation(s)
- Satoru Kanto
- Department of Urology International University of Health and Welfare Shioya Hospital 77 Tomita 329-2145 Yaita Tochigi Japan
| | - Kazumitsu Yamasaki
- Department of Urology International University of Health and Welfare Hospital 537-3 Iguchi Nasushiobara Japan
| | - Teruaki Iwamoto
- International University of Health and Welfare Hospital, Reproduction Center 537-3 Iguchi Nasushiobara Japan
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Bechoua S, Berki-Morin Y, Michel F, Girod S, Sagot P, Fauque P. Outcomes with intracytoplasmic sperm injection of cryopreserved sperm from men with spinal cord injury. Basic Clin Androl 2013; 23:14. [PMID: 25780576 PMCID: PMC4349465 DOI: 10.1186/2051-4190-23-14] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2013] [Accepted: 10/08/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Erectile dysfunction, ejaculatory dysfunction and poor semen quality are the main causes of infertility in men with spinal cord injury (SCI). Different sperm retrieval techniques such as penile vibratory stimulation (PVS), electro-ejaculation (EEJ) or surgical sperm retrieval (SSR) associated or not with sperm cryopreservation can be offered to these patients to preserve their fertility. If fatherhood cannot be achieved naturally, assisted reproductive techniques can be offered to these patients using either fresh or frozen/thawed sperm. The aim of the study was to report in SCI patients from Dijon (Burgundy) and in the literature, intracytoplasmic sperm injection (ICSI) outcomes using frozen sperm obtained either by antegrade ejaculation (PVS or sexual intercourse) or by SSR. METHODS A retrospective analysis was performed in Dijon, Burgundy over a 17 year period (1995-2011) on a cohort of 19 SCI men (6 quadriplegics and 13 paraplegics, mean age: 25.2 ± 5.6 years) who underwent a sperm cryopreservation followed or not by intracytoplasmic sperm injection (ICSI). Patients were divided into two groups according to the sperm retrieval method used (antegrade ejaculation group (n=10): penile vibratory stimulation (PVS) for 9 patients and sexual intercourse for 1 patient and surgical sperm retrieval (SSR) group: n=9). The sperm parameters in both groups were analyzed. Pregnancy outcomes in the 8 couples who underwent ICSI were evaluated. RESULTS The fertilization rates were 57 and 55%, the embryo's cleavage rates were 90 and 93% in the antegrade ejaculation and SSR groups respectively. Among the 8 couples who underwent ICSI, 5 couples achieved pregnancy. The pregnancy rates per couple were 50% and 75% in the antegrade and SSR groups respectively. CONCLUSIONS Although some studies don't recommend freezing sperm in SCI patients, the pregnancy rates presented in this study are encouraging and warrant the use of frozen/thawed sperm in very specific situations.
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Affiliation(s)
- Shaliha Bechoua
- Hôpital de Dijon, Laboratoire de Biologie de la Reproduction, Université de Bourgogne, 21079 Dijon, France
| | - Yasmine Berki-Morin
- Hôpital de Dijon, Laboratoire de Biologie de la Reproduction, Université de Bourgogne, 21079 Dijon, France
| | - Frédéric Michel
- Hôpital de Dijon, Service de Chirurgie Urologique-Andrologie, Université de Bourgogne, 21079 Dijon, France
| | - Sophie Girod
- Hôpital de Dijon, Université de Bourgogne, Service de Gynécologie-Obstétrique, Médecine Fœtale et Stérilité Conjugale, 21079 Dijon, France
| | - Paul Sagot
- Hôpital de Dijon, Université de Bourgogne, Service de Gynécologie-Obstétrique, Médecine Fœtale et Stérilité Conjugale, 21079 Dijon, France
| | - Patricia Fauque
- Hôpital de Dijon, Laboratoire de Biologie de la Reproduction, Université de Bourgogne, 21079 Dijon, France
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15
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Kathiresan AS, Ibrahim E, Aballa TC, Attia GR, Ory SJ, Hoffman DI, Maxson WS, Barrionuevo MJ, Lynne CM, Brackett NL. Comparison of in vitro fertilization/intracytoplasmic sperm injection outcomes in male factor infertility patients with and without spinal cord injuries. Fertil Steril 2011; 96:562-6. [DOI: 10.1016/j.fertnstert.2011.06.078] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2011] [Revised: 06/20/2011] [Accepted: 06/27/2011] [Indexed: 11/28/2022]
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16
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Merchant R, Gandhi G, Allahbadia GN. In vitro fertilization/intracytoplasmic sperm injection for male infertility. Indian J Urol 2011; 27:121-32. [PMID: 21716935 PMCID: PMC3114573 DOI: 10.4103/0970-1591.78430] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Progress in the field of assisted reproduction, and particularly micromanipulation, now heralds a new era in the management of severe male factor infertility, not amenable to medical or surgical correction. By overcoming natural barriers to conception, in vitro fertilization and embryo transfer (IVF-ET), subzonal sperm insemination, partial zona dissection, and intracytoplasmatic injection of sperm (ICSI) now offer couples considered irreversibly infertile, the option of parenting a genetically related child. However, unlike IVF, which necessitates an optimal sperm number and function to successfully complete the sequence of events leading to fertilization, micromanipulation techniques, such as ICSI, involving the direct injection of a spermatozoon into the oocyte, obviate all these requirements and may be used to alleviate severe male factor infertility due to the lack of sperm in the ejaculate due to severely impaired spermatogenesis (non-obstructive azoospermia) or non-reconstructable reproductive tract obstruction (obstructive azoospermia). ICSI may be performed with fresh or cryopreserved ejaculate sperm where available, microsurgically extracted epididymal or testicular sperm with satisfactory fertilization, clinical pregnancy, and ongoing pregnancy rates. However, despite a lack of consensus regarding the genetic implications of ICSI or the application and efficacy of preimplantation genetic diagnosis prior to assisted reproductive technology (ART), the widespread use of ICSI, increasing evidence of the involvement of genetic factors in male infertility and the potential risk of transmission of genetic disorders to the offspring, generate major concerns with regard to the safety of the technique, necessitating a thorough genetic evaluation of the couple, classification of infertility and adequate counseling of the implications and associated risks prior to embarking on the procedure. The objective of this review is to highlight the indications, advantages, limitations, outcomes, implications and safety of using IVF/ICSI for male factor infertility to enable a more judicious use of these techniques and maximize their potential benefits while minimizing foreseen complications.
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Affiliation(s)
- Rubina Merchant
- Deccan Fertility Clinic, Rotunda - Center for Human Reproduction, Mumbai, India
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17
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Roberts M, Jarvi K. Steps in the investigation and management of low semen volume in the infertile man. Can Urol Assoc J 2011; 3:479-85. [PMID: 20019978 DOI: 10.5489/cuaj.1180] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
An adequate semen volume of ejaculate fluid is required to transport sperm into the female reproductive tract and allow for fertilization of the oocyte. Thus, seminal fluid volume is an important part of the semen analysis done to investigate male infertility. In this article, we review the anatomy and physiology of ejaculation, the various etiologies of low-volume ejaculation (artifactual, structural, functional). We then present a comprehensive algorithm for the evaluation, diagnosis and treatment of the infertile man presenting with low semen volume.
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18
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Amar-Hoffet A, Hédon B, Belaisch-Allart J. [Assisted reproductive technologies place]. J Gynecol Obstet Hum Reprod 2010; 39:S88-S99. [PMID: 21185490 DOI: 10.1016/s0368-2315(10)70034-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
There are three kinds of infertility treatment: medical treatment, surgical treatment and assisted reproductive technology (ART). ART includes intra uterine insemination (IUI), in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). ART technologies made a lot of progress last years and their field of applications extended. Through literature reviews, IUI is recommended for unexplained infertility and discussed for male or cervical infertility. IVF is recommended for tubal and unexplained infertility. Limits between IVF and ICSI in case of male infertility remains unclear. In non mal infertility ICSI is not recommended.
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Affiliation(s)
- A Amar-Hoffet
- Hôpital Saint Joseph, Unité de médecine de la reproduction, 26 bd de Louvain, 13008 Marseille, France
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19
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Iremashvili V, Brackett NL, Ibrahim E, Aballa TC, Lynne CM. Semen Quality Remains Stable During the Chronic Phase of Spinal Cord Injury: A Longitudinal Study. J Urol 2010; 184:2073-7. [DOI: 10.1016/j.juro.2010.06.112] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2010] [Indexed: 11/16/2022]
Affiliation(s)
- Viacheslav Iremashvili
- Miami Project to Cure Paralysis and Department of Urology (CML), University of Miami Miller School of Medicine, Miami, Florida
| | - Nancy L. Brackett
- Miami Project to Cure Paralysis and Department of Urology (CML), University of Miami Miller School of Medicine, Miami, Florida
| | - Emad Ibrahim
- Miami Project to Cure Paralysis and Department of Urology (CML), University of Miami Miller School of Medicine, Miami, Florida
| | - Teodoro C. Aballa
- Miami Project to Cure Paralysis and Department of Urology (CML), University of Miami Miller School of Medicine, Miami, Florida
| | - Charles M. Lynne
- Miami Project to Cure Paralysis and Department of Urology (CML), University of Miami Miller School of Medicine, Miami, Florida
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20
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Perrin J, Saïas-Magnan J, Thiry-Escudié I, Gamerre M, Serment G, Grillo JM, Guillemain C, Karsenty G. Le blessé médullaire : quel sperme et quelle prise en charge en Assistance médicale à la procréation ? ACTA ACUST UNITED AC 2010; 38:532-5. [DOI: 10.1016/j.gyobfe.2010.07.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2010] [Accepted: 07/05/2010] [Indexed: 11/30/2022]
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