International Journal of
Reproductive Biomedicine
Wed, Jul 1, 2026
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Volume 24, Issue 5 (May 2026)
IJRM 2026, 24(5): 413-420 |
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Ethics code: IR.SSU.RSI.REC.1401.017
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Haghdani S, Vahidi . S, Sadeghi A, Gholami Banadkuki N. Comparison of intracytoplasmic sperm injection outcomes in men with spinal cord injury using sperm retrieved by electroejaculation and testicular sperm extraction methods: A retrospective cohort study. IJRM 2026; 24 (5) :413-420
URL: http://ijrm.ir/article-1-3797-en.html
URL: http://ijrm.ir/article-1-3797-en.html
1- Andrology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. , saeed_haghdani@yahoo.com
2- Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3- Department of Surgical Technology, Faculty of Paramedical, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4- Andrology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2- Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3- Department of Surgical Technology, Faculty of Paramedical, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4- Andrology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abstract: (8 Views)
Background: Individuals with spinal cord injury (SCI) face fertility concerns due to various causes, such as low sperm quality and ejaculatory dysfunction. Consequently, different sperm retrieval techniques are used for these cases, including testicular sperm extraction (TESE) and electroejaculation (EE). Clinical and neonatal outcomes have been reported inconsistently between these 2 methods.
Objective: This study aimed to compare the chemical pregnancy, clinical pregnancy, and live birth rate in men with SCI undergoing intracytoplasmic sperm injection using sperm obtained via EE vs. TESE.
Materials and Methods: This retrospective cohort study was conducted between 2017 and 2023. 37 men with SCI underwent 2 different sperm retrieval techniques. Sperm was retrieved using EE in 18 cycles, while TESE was performed in 36 cycles. Then, chemical, clinical, and live birth rates were reported.
Results: Overall, 21 (38.8%) chemical pregnancies were obtained. Moreover, 19 (35.18%) clinical pregnancies were achieved. The live birth rate was 20.3%. No statistically significant differences were observed between the EE and TESE groups in terms of chemical pregnancy (44.4% vs. 36.1%, p = 0.55), clinical pregnancy (33.3% vs. 36.1%, p = 0.89), or live birth rates (22.2% vs. 19.4%, p = 0.81).
Conclusion: Both retrieval techniques, EE and TESE, can be applicable strategies for intracytoplasmic sperm injection procedures in men with SCI with no discrepancy in pregnancy outcomes.
Objective: This study aimed to compare the chemical pregnancy, clinical pregnancy, and live birth rate in men with SCI undergoing intracytoplasmic sperm injection using sperm obtained via EE vs. TESE.
Materials and Methods: This retrospective cohort study was conducted between 2017 and 2023. 37 men with SCI underwent 2 different sperm retrieval techniques. Sperm was retrieved using EE in 18 cycles, while TESE was performed in 36 cycles. Then, chemical, clinical, and live birth rates were reported.
Results: Overall, 21 (38.8%) chemical pregnancies were obtained. Moreover, 19 (35.18%) clinical pregnancies were achieved. The live birth rate was 20.3%. No statistically significant differences were observed between the EE and TESE groups in terms of chemical pregnancy (44.4% vs. 36.1%, p = 0.55), clinical pregnancy (33.3% vs. 36.1%, p = 0.89), or live birth rates (22.2% vs. 19.4%, p = 0.81).
Conclusion: Both retrieval techniques, EE and TESE, can be applicable strategies for intracytoplasmic sperm injection procedures in men with SCI with no discrepancy in pregnancy outcomes.
Keywords: Spinal cord injury, Sperm retrieval, Intracytoplasmic sperm injections, Pregnancy outcomes.
Type of Study: Original Article |
Subject:
Reproductive Andrology
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