OBJECTIVE: To report the successful and feasible use of transperineal fine needle aspiration of seminal vesicles (FNASV) for sperm retrieval in obstructive azoospermia.
DESIGN: Case report.
SETTING: Outpatient care in institutional clinic.
PATIENT(S): A 31-year-old man with obstructive azoospermia due to a middle prostatic m\ufcllerian cyst.
INTERVENTION(S): Transperineal FNASV using a coaxial 17-gauge TruGuide needle.
MAIN OUTCOME MEASURE(S): Feasibility of sperm retrieval suitable for future in vitro fertilization.
RESULT(S): Transperineal FNASV made it possible to aspirate 11 mL of fluid with a sperm count of 100 million/mL and 15% motility. This sample was cryopreserved for in vitro fertilization using intracytoplasmic sperm injection.
CONCLUSION(S): Transperineal FNASV using a coaxial needle may be a further method for sperm retrieval to add to the repertoire of assisted reproduction technologies