[Pregnancy and delivery after in vitro fertilization (IVF) of human ova via intracytoplasmatic sperm injection (ICSI) of testicular sperm (TESE)].

This is a report on a pregnancy achieved by in-vitro fertilisation (IVF) with intracytoplasmatic sperm injection (ICSI) after testicular sperm extraction (TESE). Because of a bilateral absence of the ductus deferens, microsurgical epididymal sperm aspiration (MESA) was not possible. This anatomic situation was probably caused by a bilateral herniotom during childhood. The wife became pregnant in the first treatment cycle and meanwhile gave birth to a healthy boy. This case report demonstrates that the ICSI procedure is successful even with testicular spermia and extremely low sperm counts.