Azoospermia, Male Infertility, Nonobstructive Azoospermia
Conditions
Brief summary
Investigate the effect of intratesticular injection of autologous platelet rich plasma (PRP) on sperm retrieval rates and IVF outcomes in infertile men who already underwent a negative sperm retrieval. Currently, there is no alternative treatment after failed TESE. Prior series suggest that intratesticular PRP injections may improve TESE outcomes. We hope to determine whether PRP is an effective treatment for this patient population.
Interventions
Patients will undergo a blood draw (12 tsp) to prepare the PRP infusion. The use of a centrifuge and an Arteriocyte Magellan kit are necessary for the PRP preparation. After injection of local anesthesia, PRP will be injected into each testicle. * On the third month after the testicular PRP procedure, a TESE will be performed * If the procedure is successful a new IVF cycle using the sperm procured from the procedure will be done.
Sponsors
Study design
Eligibility
Inclusion criteria
* Men over the age of 18 diagnosed with NOA and at least one failed TESE, negative mapping or negative biopsy
Exclusion criteria
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Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sperm present | 3 months after PRP injection | A TESE procedure will be performed to determine if sperm are present |
Countries
United States