Advances in the evaluation and treatment of the infertile man

Research output: Contribution to journalArticle

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Abstract

Numerous advances in technology have been made in the last several years in the diagnosis and treatment of the infertile man. Using case presentations, this article highlights these important new developments and reviews the basics of a comprehensive male infertility evaluation. The use of ultrasound as a critical, indispensable, yet noninvasive tool in the evaluation of possible male reproductive tract obstruction is discussed. Since assisted reproductive techniques (ARTs) have become increasingly important in the management of the otherwise untreatable infertile man, specialized testing of sperm function, e.g., the sperm penetration assay (SPA), and strict morphology assessment are often useful prior to the initiation of some of these assisted reproductive procedures such as intrauterine insemination (IUI) or in vitro fertilization (IVF). Testicular touch preparation cytology and image analysis are also important additions to routine testicular biopsy for quantifying the extent of spermatogenesis. Finally, the revolutionary micromanipulation procedure of intracytoplasmic sperm injection (ICSI) has forever changed the practice of andrology by enabling men previously thought to be irreversibly infertile the chance to initiate their own biologic pregnancy.

Original languageEnglish (US)
Pages (from-to)378-393
Number of pages16
JournalWorld Journal of Urology
Volume15
Issue number6
DOIs
StatePublished - Jan 1 1997

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Micromanipulation
Andrology
Sperm-Ovum Interactions
Assisted Reproductive Techniques
Intracytoplasmic Sperm Injections
Insemination
Male Infertility
Touch
Spermatogenesis
Fertilization in Vitro
Cell Biology
Spermatozoa
Therapeutics
Technology
Biopsy
Pregnancy

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Advances in the evaluation and treatment of the infertile man. / Kim, Edward.

In: World Journal of Urology, Vol. 15, No. 6, 01.01.1997, p. 378-393.

Research output: Contribution to journalArticle

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