Comparison of the effects of two methods of cryopreservation on testicular sperm DNA.
OBJECTIVE: To assess the effects of two methods of freezing on testicular sperm DNA from subjects with obstructive azoospermia and to compare these with samples of fresh and freeze-thawed testicular sperm from fertile men. DESIGN: The Comet assay was used to determine the percentage of undamaged DNA in fresh testicular sperm, testicular sperm freeze-thawed in suspension and in a biopsy sample (men with obstructive azoospermia), and in fresh and freeze-thawed testicular sperm (fertile men). SETTING: The Regional Fertility Center, Royal Maternity Hospital, Belfast, Northern Ireland, United Kingdom. PATIENT(S): Twelve males with obstructive azoospermia (normal testicular volume and hormone profiles) and nine fertile control subjects. INTERVENTION(S): Trucut needle testicular biopsy under local anesthetic. MAIN OUTCOME MEASURE(S): Measurement of the percentage of undamaged DNA in fresh and freeze-thawed testicular sperm using the Comet assay. RESULT(S): No significant difference was found between the percentage of undamaged DNA of fresh testicular sperm and of both types of freeze-thawed testicular sperm. There was also no significant difference between the percentage of undamaged DNA in fresh or freeze-thawed testicular sperm from controls. Control ejaculated sperm DNA was significantly more damaged than testicular sperm DNA from control men. CONCLUSION(S): Cryopreservation of testicular sperm does not increase baseline levels of DNA damage.