Surgical sperm retrieval

Surgical Sperm Retrieval

These are some specialized procedures designed to obtain sperm directly from the male reproductive tract by various surgical techniques.

Who needs SSR?

A.

Absence of sperms in semen due to any blockage in the reproductive tract (obstructive Azoospermia)

B.

Absence of sperm in semen due to reasons other than obstruction (Non - Obstructive Azoospermia).

C.

Failed Ejaculation – In cases like Diabetic neuropathy, spinal code injury or post-surgical.

Types of surgical sperm retrieval procedures

1) TESA (Testicular Sperm Aspiration)

A.

Needle is used to aspirate sperm directly from the testicle.

B.

Performed under anesthesia.

2) PESA (Percutaneous Epididymal Sperm Aspiration)

A.

Needle aspiration of sperm from epididymis.

B.

Quick and minimally invasive

C.

Ideal for obstructive Azoospermia with intact epididymal anatomy.

3) MESA (Microsurgical Epididymal Sperm Aspiration)

A.

Open microsurgical retrieval of sperm from epididymal tube

B.

A small incision is made on scrotum

C.

Done under general anesthesia

D.

Higher number of sperms retrieved

4) TESE ( Testicular Sperm Extraction)

A.

A small incision is given on scrotal skin.

B.

Small amount of tissue is removed from testicle to retrieve sperm

C.

Done under anesthesia

5) Micro -TESE (Microsurgical Testicular Sperm Extraction)

A.

Incision is given on scrotum

B.

Performed under general anesthesia

C.

Done in patients with non-obstructive Azoospermia

D.

Uses an operating microscope to locate and extract sperm producing seminiferous tubules from testes.

What happens to retrieved sperm?

A.

These can be used for ICSI (Intracytoplasmic Sperm Injection)

B.

These can also be used fresh or cryopreserved (frozen) for any IVF cycles in future.

SSR is a powerful solution when sperm is not present in the ejaculate.

Meet your doctor today to receive guidance towards the most suitable method for SSR based on your history and investigation.

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