All you need to know about Surgical Sperm Aspiration

About 10% to 15% of infertile men and 1% of all men have a condition called azoospermia. Azoospermia is the medical term used when there is no sperm in the ejaculate. This is a condition when there is a blockage that prevents the sperm from entering the ejaculate or when the sperm count is decreased.


What causes azoospermia?


There are numerous factors that can contribute to azoospermia. The most common cause would be vasectomy. It stops the sperm from joining other fluids in the ejaculate. Genetic conditions could also be a possibility for azoospermia. Medical treatments including chemotherapy, narcotics, and anatomical abnormalities are a few causes of azoospermia.


Is there no solution?

Thanks to the latest scientific advances, we have a solution for azoospermia. Surgical Sperm Aspiration is a procedure performed for men who are having sperm retrieved for IVF/ICSI. It takes only a few minutes and is often painless; it is typically done under local anesthesia.

It takes only a few minutes and is often painless; it is typically done under local anesthesia. . In this procedure, an incision is made in the testicle in order to extract a tiny sample (biopsy) from which sperm may eventually be recovered. Both local and general anesthesia is acceptable for procedures.



Objectives of Surgical Sperm Aspiration

  • To get the best quality sperm,

  • To collect sufficient sperm for freezing or immediate use,

  • To lessen damage to the testicles and reproductive system,

Surgical Sperm Retrieval Methods.


Percutaneous Epididymal Sperm Aspiration (PESA)

It is a simple surgery known as percutaneous epididymal sperm aspiration. The least amount of intrusion is needed with this approach. The sperm is extracted from the epididymis, a tube that connects to the testis, using a thin needle. Anesthesia is used for this surgery. Needle aspiration biopsy is used when PESA fails.

Testicular Sperm Extraction (TESE)

TESE is preferred only when PESA fails. One's testicular tissue is sampled from a greater area for the biopsy. It is also a highly popular SSR technique.

Microdissection TESSE

When the sperm count in the semen is nil, this is generally preferred. To ensure that the correct tissue is removed in this procedure, the precise spot is pointed towards using a micro-dissecting microscope.

Testicular sperm aspiration (TESA)

Using a needle and mild suction, the sperm is extracted from the testis. A biopsy gun is used during TESA in vitro fertilization. The detected sperm is then put in a freezer for later use.

Percutaneous biopsy

Although it is almost identical to TESA, a different kind of needle is used.

Microsurgical epididymal sperm aspiration (MESA)

When PESA is unsuccessful, a technique called microsurgical epididymal sperm aspiration is used. Because a microscope is used during this surgery, anesthesia is used. Additionally, surgery could be done to remove the obstruction.


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