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• W2167607346 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Apr 1998INVESTIGATION OF FERTILIZING CAPACITY OF CRYOPRESERVED SPERMATOZOA FROM PATIENTS WITH CANCER JORGE HALLAK, BENJAMIN N. HENDIN, ANTHONY J. THOMAS, and ASHOK AGARWAL JORGE HALLAKJORGE HALLAK More articles by this author , BENJAMIN N. HENDINBENJAMIN N. HENDIN More articles by this author , ANTHONY J. THOMASANTHONY J. THOMAS More articles by this author , and ASHOK AGARWALASHOK AGARWAL (Agarwal) Requests for reprints: Department of Urology, A19.1 Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195. More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63561-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: There are few published reports concerning fertilization and pregnancy outcomes achieved with cryopreserved spermatozoa from cancer patients. Controversy exists regarding the value of sperm banking for these patients before therapy, whether the spermatozoa are viable after long-term storage and whether they can fertilize the ovum. We assess fertilization and pregnancy outcomes achieved with cryopreserved spermatozoa from cancer patients using assisted reproductive techniques. Materials and Methods: We studied 10 cancer patients who transferred cryopreserved semen specimens from our sperm bank to outside in vitro fertilization programs for assisted reproductive technique. Of these patients 5 had Hodgkin's disease, 2 testicular cancer, 1 leukemia and 2 prostate cancer. The length of specimen storage ranged from 14 to 135 months (median 49, interquartile range 24 and 82). Results: The median pre-freeze motility was 44% (interquartile range 36 and 55%) and the median total sperm count was 31.1 × 106 (interquartile range 6.3 and 53.9 × 106). At 24 hours after banking the median post-thaw motility was 11% (interquartile range 6 and 35%) and the median total sperm count was 6.6 × 106 (1.2 and 17.1 × 106). A total of 18 cycles of assisted reproductive technique were performed among 10 couples with an overall pregnancy rate of 50% per couple, with 2 deliveries, 1 ongoing pregnancy and 2 miscarriages. The pregnancy rate per cycle of in vitro fertilization and intracytoplasmic sperm injection was 36.4% with an implantation rate of 13%. Conclusions: These results indicate that poor quality cryopreserved spermatozoa from cancer patients, irrespective of the length of storage, may provide successful results with the latest micromanipulative techniques such as intracytoplasmic sperm injection. References 1 : The effects of cancer and cancer therapy on male reproductive function. J. Urol.1993; 149: 1327. Abstract, Google Scholar 2 : Value of clinical diagnosis in predicting the quality of cryopreserved sperm from cancer patients. J. Urol.1996; 155: 934. Abstract, Google Scholar 3 : Testicular cancer and fertility. Int. J. Androl.1987; 10: 371. Google Scholar 4 : Semen cryopreservation in men undergoing cancer chemotherapy-a UK survey. Brit. J. Cancer1989; 60: 966. Google Scholar 5 : Semen cryobanking for men with cancer-criteria change. Fertil. Steril.1992; 58: 1024. Google Scholar 6 : Effect of cryopreservation on semen quality in patients with testicular cancer. Urology1995; 46: 382. Google Scholar 7 : Is routine pre-treatment cryopreservation of semen worthwhile in the management of patients with testicular cancer?. Brit. J. Urol.1989; 64: 524. Google Scholar 8 : Conservation du sperm avant traitement anticancereux. Une mesure efficace pour preserver les chances de conception future. Contracept. Fertil. Sex.1993; 21: 749. Google Scholar 9 : Semen analysis in testicular cancer and Hodgkin's disease: pre- and post-treatment findings and implications for cryopreservation. Brit. J. Urol.1983; 55: 769. Google Scholar 10 : Effects of cancer on spermatozoa quality after cryopreservation: a 12-year experience. Fertil. Steril.1997; 67: 326. Google Scholar 11 : High fertilization and pregnancy rate after intracytoplasmic sperm injection with spermatozoa obtained from testicle biopsy. Hum. Reprod.1995; 10: 148. Google Scholar 12 : Using ejaculated, fresh, and frozen-thawed epididymal and testicular spermatozoa gives rise to comparable results after intracytoplasmic sperm injection. Fertil. Steril.1995; 63: 808. Google Scholar 13 : Pregnancy following in vitro fertilization using cryopreserved semen from a man with testicular teratoma. Urology1985; 26: 33. Google Scholar 14 : Successful fertilization and pregnancy outcome in in-vitro fertilization using cryopreserved/thawed spermatozoa from patients with malignant diseases. Hum. Reprod.1992; 7: 105. Google Scholar 15 : Normal fertilization of human oocytes after testicular sperm extraction and intracytoplasmic sperm injection. Fertil. Steril.1994; 62: 639. Google Scholar 16 : Intracytoplasmatic sperm injection (ICSI): the Brussels experience. Reprod. Fertil. Dev.1995; 7: 269. Google Scholar 17 : Intracytoplasmic sperm injection: a novel treatment for all forms of male factor infertility. Fertil. Steril.1995; 63: 1231. Google Scholar 18 : Optimum abstinence time for cryopreservation of semen in cancer patients. J. Urol.1995; 154: 86. Abstract, Google Scholar 19 : The human testis-an organ at risk?. Int. J. Androl.1992; 15: 373. Google Scholar 20 : Evidence for increasing incidence of abnormalities of the human testis: a review. Environ. Health Perspect., suppl.1993; 2: 65. Google Scholar 21 : Dianosttk bei Hodentumoren. Urologe1980; 20: 106. Google Scholar 22 : Testicular heating and its possible contributions to male infertility: a review. Int. J. Androl.1995; 18: 169. Google Scholar 23 : Effect of testicular temperature on vasomotion and blood flow. Int. J. Androl.1995; 18: 120. Google Scholar 24 : Follicle size and implantation of embryos from in vitro fertilization. Obst. Gynec.1996; 88: 583. Google Scholar Andrology Research and Clinical Laboratories, Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio.© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySCHUFFNER A, STOCKLER S, COSTA S and CENTA L (2018) Long-Term Cryopreserved Semen Results in a Live Birth 12 Years LaterJournal of Urology, VOL. 171, NO. 1, (358-358), Online publication date: 1-Jan-2004.ANGER J, GILBERT B and GOLDSTEIN M (2018) Cryopreservation of Sperm: Indications, Methods and ResultsJournal of Urology, VOL. 170, NO. 4 Part 1, (1079-1084), Online publication date: 1-Oct-2003. Volume 159Issue 4April 1998Page: 1217-1220 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information JORGE HALLAK More articles by this author BENJAMIN N. HENDIN More articles by this author ANTHONY J. THOMAS More articles by this author ASHOK AGARWAL (Agarwal) Requests for reprints: Department of Urology, A19.1 Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195. More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2167607346 title "INVESTIGATION OF FERTILIZING CAPACITY OF CRYOPRESERVED SPERMATOZOA FROM PATIENTS WITH CANCER" @default.
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