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Updated: Apr 1, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
Published on: May 27, 2022
Reproductive outcome in globozoospermic men: update and prospects
L Chansel-Debordeaux1, S Dandieu, S Bechoua2
1Service de Biologie de la Reproduction-CECOS, CHU de Bordeaux, Centre Aliénor d'Aquitaine, Bordeaux, France.
Globozoospermia, a severe male infertility cause, often results in low fertilization rates. Oocyte activation techniques significantly improve pregnancy rates for affected couples undergoing assisted reproduction.
Area of Science:
- Reproductive Medicine
- Andrology
- Genetics
Background:
- Infertility affects 15% of couples, with male factors contributing 20% of cases.
- Globozoospermia is a rare teratozoospermia type causing poor pregnancy outcomes.
- Understanding its morphology, physiology, and genetics is crucial.
Purpose of the Study:
- To review reproductive outcomes in globozoospermic patients.
- To evaluate assisted reproduction techniques for globozoospermia.
- To identify strategies for improving pregnancy rates.
Main Methods:
- Comprehensive literature review (20 years, English/French) using PubMed/Medline, ScienceDirect, Scopus.
- Analysis of 45 publications detailing 172 assisted reproduction attempts (ICSI/IMSI).
- Inclusion of data on oocyte activation and outcomes.
Main Results:
- Reviewed 28 deliveries and 34 children from globozoospermic patients.
- Observed persistently low fertilization rates after conventional ICSI.
- Identified oocyte activation, particularly with calcium ionophore, as a key factor.
Conclusions:
- Oocyte activation significantly enhances pregnancy rates in globozoospermia cases.
- Further research into globozoospermia pathogenesis is needed.
- Recombinant phospholipase C zeta (PLCζ) shows promise for future treatments.
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