Surgical sperm retrieval is a surgical procedure of collecting the sperms from the testis of the patient. Surgical sperm retrieval is required when the semen has very little or no sperm. This is related to male infertility. The collected sperms are then used for ICSI or IMSI process and proceeds to IVF treatment. Sperms are formed in the testicles and stored and matured in the epididymis of the male reproductive system. In male infertility the sperms may not be formed or transported through the duct.

Reasons for male infertility can be:

  • Blocked tubes that transport the sperms
  • Erectile dysfunction
  • Less production of sperms in the testicles

Surgical Sperm retrieval methods
There are few surgical methods in use for the retrieval of sperm as discussed below:

Percutaneous Epididymal Sperm Aspiration (PESA)

In this Infertility treatment procedure, the surgeon begins with a local anesthetic. The infertility specialist inserts a thin needle through the skin of the testicular sac reaching the epididymis. Small amount of semen is extracted and tested for the presence of the sperms. This is the easiest and least invasive method in SSR treatments.

Testicular Sperm Extraction(TESA)

In this SSR method of sperm extraction, a needle is placed using the biopsy gun into the testicle and the sample is collected with gentle suction. The collected sample of sperm is then examined under the microscope and the healthy sperm are cultured and used for IVF treatment.

Microsurgical Epididymal Sperm Aspiration (MESA)

This method of surgery is performed when it is not possible to obtain samples using the PESA technique. The procedure starts with a local anesthetic and the surgeon inserts a needle to reach the tubules of epididymis and collects the sample. This surgery is also recommended for correcting any abnormalities or obstruction in the tubules. The collected sample is then examined under the microscope and viable sperms are used for further treatment.

Percutaneous Biopsy

The procedure followed in percutaneous biopsy and TESA are almost similar with only difference in the needle used. In this method a large needle named as fine needle biopsy is used as compared to TESA. This method retrieves large amount of sample.

Testicular Sperm Extraction (TESE)

This method of SSR is conducted when PESA attempt fails. In this procedure, samples are taken from a large section of the testicles. The sample is then examined under a microscope to extract viable sperms for IVF treatment.

Micro Dissection TESE 

In this procedure of SSR, the collected sample is examined under a micro-dissecting microscope. In this technique very less samples are collected and have minimal internal damage.

The obtained sperms are then are used for the purpose of ICSI treatment in Hegde Fertility, prominent infertility hospitals. They are also frozen and stored in the sperm bank. At whatever time the couple wants to use them, the frozen sperms are thawed and used for fertilization of the eggs.
Want to undergo sperm retrieval procedure, contact our Infertility specialist in Hegde Fertility to know which procedure is suitable for you and the icsi treatment cost . Book an appointment Now!