ICSI is the recent newest medical technology in fertility treatment. It is the process of picking up a single sperm in a very fine needle and injecting it into an egg under delicate microscope .The resulting embryos would transferred into women womb as in a normal IVF cycle. This technique combined with the surgical sperm retrieval could help infertile couple with various sperm problem as following cases:

1. Azoospermic patient who need to collect their sperm from his testicles or epididymis.
2. Men with severe sperm factor of low count, poor motility and high number abnormal sperm.
3. Men of impotency with difficult ejaculation.