A 25-years old married male presents with infertility. He had undergone retroperitoneal lymph node dissection at age of 15 years for embryonal carcinoma of right testis. Semen analysis shows-quantity-0.5 ml, no. sperm, no fructose. Biopsy of testis shows normal spermatogenesis. Best treatment here would be:: (A) Artificial insemination of donor, (B) Penile-prosthesis, (C) Micro testicular aspiration and intracytoplasmic injection, (D) None of the above
Answer is C. Ans. (c) Microtesticular aspiration and intracytoplasmic injectionRef: Smith 17th Edition, Pages 710-711* For patients having normal spermatogenesis and problem in sperm transport we do Sperm aspiration from Vas or Epididymis or Testis and injected into cytoplasm. (In vitro Fertilization Technique- IVF)