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Philippon M, Karsenty G, Bernuz B, Courbiere B, Brue T, Saïas-Magnan J, Perrin J. Successful pregnancies and healthy live births using frozen-thawed sperm retrieved by a new modified Hotchkiss procedure in males with retrograde ejaculation: first case series. Basic Clin Androl 2015; 25:5. [PMID: 26034605 PMCID: PMC4450833 DOI: 10.1186/s12610-015-0021-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2015] [Accepted: 05/04/2015] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND In couples presenting with retrograde ejaculation refractory to medical treatment, the first choice of fertility treatment should be Assisted Reproductive Techniques using rapidly purified spermatozoa retrieved from post-ejaculatory urine. The Hotchkiss technique and modified variants are simple and efficient for retrieving sperm from the bladder. We developed a new protocol, including a novel modified Hotchkiss technique involving sperm cryopreservation. The aim was to study the pregnancy rate and birth rate achieved by intra cytoplasmic sperm injection (ICSI) using frozen-thawed sperm retrieved from the bladder with this novel modified Hotchkiss technique in patients with refractory retrograde ejaculation. RESULTS In this descriptive retrospective, single-center study, we analyzed the local database of all patients who banked sperm at the CECOS Laboratory Biology of Reproduction of La Conception University Hospital, Marseille, France, between 2004 and 2014. A total of 2171 patients banked sperm during this time, including 63 patients with retrograde ejaculation, of whom ten patients banked sperm that had been retrieved by the modified Hotchkiss technique. These ten couples underwent 26 ICSI cycles: nine clinical pregnancies were achieved in six couples, including eight after fresh embryo transfer and one after thawed embryo transfer, resulting in seven live births. The average live birth rate per transfer was 28 %. CONCLUSIONS We report the largest series of births using frozen-thawed spermatozoa retrieved from post-ejaculatory urine by a modified Hotchkiss technique. This series of births demonstrates that this new modified Hotchkiss technique allows for successful association with sperm cryopreservation, leading to an efficient and easy management of couples with refractory retrograde ejaculation.
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Affiliation(s)
- Melanie Philippon
- AP-HM, La Conception, Service d'Endocrinologie, Diabète et Maladies Métaboliques, Centre de Référence des Maladies Rares d'Origine Hypophysaire DEFHY, 13385 cedex 15 Marseille, France
| | - Gilles Karsenty
- Department of Urology, AP-HM La Conception, 147 bd Baille, 13385 Cedex 5 Marseille, France
| | - Benjamin Bernuz
- Neuro rehabilitation Unit, Leon Berard Hospital, bd du Dr Armanet, Hyères, France
| | - Blandine Courbiere
- Pôle Femmes-Parents-Enfants, Centre clinico-biologique d'Assistance Médicale à la Procréation, AP-HM La Conception, 147 Bd Baille, 13 005 Marseille, France ; Institut Méditerranéen de Biodiversité et d'Ecologie Marine et Continentale (IMBE), CNRS - IRD, Aix Marseille Université, Univ-Avignon, Biogénotoxicologie, Santé Humaine et Environnement, 27, Boulevard Jean-Moulin, F-13385 Cedex 05 Marseille, France
| | - Thierry Brue
- AP-HM, La Conception, Service d'Endocrinologie, Diabète et Maladies Métaboliques, Centre de Référence des Maladies Rares d'Origine Hypophysaire DEFHY, 13385 cedex 15 Marseille, France ; Aix Marseille Université, CNRS, CRN2M UMR 7286, 13344 cedex 15 Marseille, France
| | - Jacqueline Saïas-Magnan
- CECOS Laboratory Biology of Reproduction, Pôle Femmes-Parents-Enfants, 147 bd Baille, 13385 Cedex 5 Marseille, France
| | - Jeanne Perrin
- Institut Méditerranéen de Biodiversité et d'Ecologie Marine et Continentale (IMBE), CNRS - IRD, Aix Marseille Université, Univ-Avignon, Biogénotoxicologie, Santé Humaine et Environnement, 27, Boulevard Jean-Moulin, F-13385 Cedex 05 Marseille, France ; CECOS Laboratory Biology of Reproduction, Pôle Femmes-Parents-Enfants, 147 bd Baille, 13385 Cedex 5 Marseille, France
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Karsenty G, Bernuz B, Metzler-Guillemain C, Grillo JM, Saïas-Magnan J, Rigot JM, Perrin J. Should sperm be cryopreserved after spinal cord injury? Basic Clin Androl 2013. [DOI: 10.1186/2051-4190-23-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
In spinal cord injured (SCI) patients, three main factors may cause infertility: erectile dysfunction, ejaculatory dysfunction and impaired semen quality. This letter aims to discuss how we can manage SCI patients’ fertility in accordance with patient-centred care. For such SCI patients aged 20 to 40, having children represents hope for the future. Furthermore, it is a way to rebuild a life after the spinal injury and must be seen as an important part of the rehabilitation program. We suggest that sperm cryopreservation may contribute to patient-centred care management of SCI patients’ fertility, although there is no scientific evidence that cryopreservation will improve fertility outcome after SCI. Indeed, sperm cryopreservation is an affordable and simple technique in specialised centres with trained staff. Here, a protocol to manage SCI patients’ fertility is discussed: we propose PVS for sperm banking to all SCI patients after the phase of spinal shock during the rehabilitation program. If live sperm are retrieved, they are frozen and stored; however, if no live sperm are retrieved, electroejaculation and/or surgical sperm extraction are proposed only for patients who desire biological fatherhood. Prospective studies on the evolution of semen parameters, ejaculatory dysfunction, post-infectious obstructions and spermatogenesis impairment in chronic SCI patients are urgently needed to provide robust data for the evidence-based management of SCI patients’ fertility. Even if use rates are expected to be low, sperm banking may be a simple and affordable preventative measure for selected male SCI patients.
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Saias-Magnan J, Perrin J, Metzler-Guillemain C, Delotte J, Courbière B, Fatfouta I, Lattes S, Grillo JM, Thibault E. Préservation de la fertilité masculine. ONCOLOGIE 2013. [DOI: 10.1007/s10269-013-2286-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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