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This study aims to investigate the outcome of ICSI after using LAISS for selection of viable immotile testicular sperm in azoospermic infertile men.
Patients will be randomly assigned to 2 groups. In (LAISS) group, viable immotile testicular sperms will be selected before ICSI using laser assisted immotile sperm selection (study group). In (HOST) group, viable immotile testicular sperms will be selected before ICSI using hypo-osmotic swelling test (control group).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LAISS group | Active Comparator | Viable immotile testicular sperms will be selected before ICSI using laser assisted immotile sperm selection (study group). |
|
| HOST group | Active Comparator | Viable immotile testicular sperms will be selected before ICSI using hypo-osmotic swelling test (control group). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laser Assisted Immotile Sperm Selection | Device | LAISS will be performed using diode laser system at the lowest working power with a single laser shot at the lower one third of the sperm tail. If sperm tail curling occurred, the sperm is then viable and will be utilized for ICSI after immobilization in PVP. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pregnancy rate | Presence of a fetal heartbeat at 6-7 weeks of pregnancy. | 6- 7 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ramadan SA Saleh, MD | Sohag Faculty of Medicine | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ajyal Hospital, IVF Center | Sohag | 82524 | Egypt |
Share IPD upon justified request to study director
Data shall become permanently available for share in Q3 2022.
Justified request to study director
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| ID | Term |
|---|---|
| D053713 | Azoospermia |
| ID | Term |
|---|---|
| D007248 | Infertility, Male |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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(LAISS) group: viable immotile testicular sperms will be selected before ICSI using laser assisted immotile sperm selection (study group).
(HOST) group: viable immotile testicular sperms will be selected before ICSI using hypo-osmotic swelling test (control group).
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With an online tool, participants will be randomized to undergo ICSI with HOST and LAISS sperm selection arms with a 1:1 allocation ratio as per a computer-generated list, using permuted block sizes of 8, and 16, stratified for sites and fresh or cryopreserved sperm. Results of allocation will be in sealed opaque envelopes labeled with unique random codes. Clinicians, embryologists, and participants in all centers will have no access to allocation results. Upon consent, instructors will assign participants to the relevant group. Embryologists who will perform fertilization check and embryo grading will be unaware of the sperm selection method. Women will undergo only day 5 blastocysts transfer. This trial will also conceal the allocation from participants and clinical team.
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| Hypo-osmotic Swelling Test | Procedure | HOST will be performed by transferring immotile sperms from incubation droplet into HOST droplet, with any sperm showing tail swelling will be identified as viable and will be utilized for ICSI after immediate transfer and immobilization. |
|
| D007246 |
| Infertility |
| D052801 | Male Urogenital Diseases |