Surgical Sperm Retrieval

Discover the latest advancements in surgical sperm retrieval treatment

Surgical sperm retrieval, also known as testicular sperm extraction (TESE) or epididymal sperm aspiration (PESA), is a medical procedure performed to retrieve sperm directly from the testicles or epididymis in men who have difficulties with sperm production or transport.

In cases of male infertility, specific procedures such as TESA, PESA, or Microtissue are employed to extract sperm directly from the testes. These procedures are particularly useful in cases of obstructive azoospermia, whether it is congenital or acquired as a result of infection or vasectomy. The process is considered a minor day procedure and is conducted under local anesthesia, typically on the same day as the retrieval of the female partner’s eggs.

TESE (Testicular Sperm Extraction)

TESE is a surgical procedure where a small incision is made in the scrotum, and a small piece of testicular tissue is removed. The tissue is then examined under a microscope, and viable sperm are isolated and collected for use in assisted reproductive techniques, such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).

PESA (Percutaneous Epididymal Sperm Aspiration)

PESA is a less invasive procedure where sperm are retrieved from the epididymis, a small tube located on the back of each testicle that transports and stores sperm. A needle is inserted directly into the epididymis through the scrotum, and fluid is aspirated. The fluid is then examined to identify and retrieve viable sperm.

These procedures are typically performed when a man has a low sperm count, non-obstructive azoospermia (absence of sperm in the semen due to low sperm production), or obstructive azoospermia (absence of sperm in the semen due to blockage in the reproductive tract). They may also be considered in cases of previous vasectomy, congenital absence of the vas deferens, or certain genetic conditions.

It’s important to note that surgical sperm retrieval procedures are invasive and carry risks, including bleeding, infection, and damage to the surrounding structures. They should be performed by experienced urologists or reproductive specialists in a controlled medical setting. The retrieved sperm can be used in conjunction with assisted reproductive techniques to help couples achieve pregnancy.

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