Mahesan AM, et al. - A retrospective cohort study was performed in order to assess clinical outcomes after intracytoplasmic sperm injection (ICSI) cycles using surgically recovered sperm as well as to evaluate the influence of maternal age on those outcomes. From 2004 to 2015, 24,763 IVF cycles of fresh autologous oocytes and ICSI using surgically recovered sperm reported to the SART CORS database. Results revealed that both clinical pregnancy rates and live birth rates (LBR) decreased with advanced maternal age. According to the findings obtained, pregnancy outcomes with ICSI using surgically recovered sperm were reassuring and comparable to those of ICSI with ejaculated sperm.