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Microsurgery for Fertility Specialists: A Practical Text

The role of microsurgical reconstruction in the era of ICSI

Publication ,  Chapter
Baker, K; Sabanegh, E
January 1, 2013

Even in the era of advanced assisted reproductive techniques, microsurgical reconstruction is an important and relevant treatment for obstructive azoospermia. Microsurgical reconstruction provides couples the opportunity to create a spontaneous pregnancy and thereby avoiding the expense, limitations, and risks of in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI). The apparent ease of advanced assisted reproductive techniques should not overshadow the fact that the expense and risks of IVF/ICSI may be unjustifiable. Sperm retrieval relegates couples to IVF/ICSI and subjects fertile female partners and the offspring to potentially avoidable risk. Approximately 30% cycles in 2009 resulted in twin or higher gestation and these pregnancies are associated with higher rates of prematurity, low birth weight, and severe neonatal medical conditions [1]. Ovarian hyperstimulation syndrome is a potentially life-threatening complication of in vitro fertilization and moderate and severe ovarian hyperstimulation syndrome are estimated to occur in 3–6% and 0.1–2% of IVF cycles, respectively [2]. Every surgeon will encounter couples for whom the best option for pregnancy is sperm retrieval paired IVF/ICSI. For couples with amenable conditions, however the safety of a natural conception remains a compelling justification for microsurgical reconstruction.

Duke Scholars

DOI

ISBN

9781461441953

Publication Date

January 1, 2013

Start / End Page

153 / 166
 

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Baker, K., & Sabanegh, E. (2013). The role of microsurgical reconstruction in the era of ICSI. In Microsurgery for Fertility Specialists: A Practical Text (pp. 153–166). https://doi.org/10.1007/978-1-4614-4196-0_11
Baker, K., and E. Sabanegh. “The role of microsurgical reconstruction in the era of ICSI.” In Microsurgery for Fertility Specialists: A Practical Text, 153–66, 2013. https://doi.org/10.1007/978-1-4614-4196-0_11.
Baker K, Sabanegh E. The role of microsurgical reconstruction in the era of ICSI. In: Microsurgery for Fertility Specialists: A Practical Text. 2013. p. 153–66.
Baker, K., and E. Sabanegh. “The role of microsurgical reconstruction in the era of ICSI.” Microsurgery for Fertility Specialists: A Practical Text, 2013, pp. 153–66. Scopus, doi:10.1007/978-1-4614-4196-0_11.
Baker K, Sabanegh E. The role of microsurgical reconstruction in the era of ICSI. Microsurgery for Fertility Specialists: A Practical Text. 2013. p. 153–166.
Journal cover image

DOI

ISBN

9781461441953

Publication Date

January 1, 2013

Start / End Page

153 / 166