Surgical Sperm Retrieval
Surgical sperm retrieval techniques extract sperm directly from the male reproductive tract for use in ICSI when ejaculated sperm is unavailable.
About Surgical Sperm Retrieval
Surgical sperm retrieval encompasses specialized procedures designed to obtain sperm directly from the testicles or epididymis when sperm cannot be found in the ejaculate. At Dr. Nagalakshmi Speciality Hospital, we offer various surgical sperm retrieval techniques including TESA (Testicular Sperm Aspiration), PESA (Percutaneous Epididymal Sperm Aspiration), and micro-TESE (Microsurgical Testicular Sperm Extraction). These procedures have opened the door to biological fatherhood for men with obstructive and non-obstructive azoospermia, giving hope where it was previously thought impossible.
Benefits
- Enables biological fatherhood for men with azoospermia
- Multiple techniques available based on diagnosis
- Minimally invasive procedures with quick recovery
- Sperm can be used fresh or frozen for future ICSI
- High sperm retrieval success rates
- Performed by experienced surgical team
Treatment Process
- 1 Thorough evaluation including hormone tests and genetic screening
- 2 Selection of the most appropriate retrieval technique
- 3 Procedure performed under local or general anesthesia
- 4 Real-time coordination with the embryology laboratory
- 5 Immediate assessment of retrieved sperm quality
- 6 Use in ICSI cycle or cryopreservation for future use
Frequently Asked Questions
What is the difference between TESA and micro-TESE?
TESA involves needle aspiration of testicular tissue and is simpler but yields less tissue. Micro-TESE uses an operating microscope to identify areas of sperm production within the testis, offering higher retrieval rates especially in non-obstructive azoospermia.
Is surgical sperm retrieval painful?
The procedures are performed under anesthesia, so you won't feel pain during the procedure. Some mild discomfort and swelling may occur afterward, which typically resolves within a few days with medication.
What are the success rates of surgical sperm retrieval?
Success rates depend on the underlying cause. In obstructive azoospermia, sperm retrieval rates are nearly 100%. In non-obstructive azoospermia, micro-TESE achieves retrieval rates of approximately 40-60%.