ICSI may give you and your spouse a chance of conceiving your genetic child when other options are closed to you.
If your spouse is too anxious to ejaculate on the day of egg collection for standard IVF, sperm can instead be extracted for ICSI.
http://www.babycentre.co.uk/a4097/fertility-treatment-intracytoplasmic-sperm-injection-icsi#ixzz3ZK0L7tt2