Surgical Sperm Retrieval

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Intro To Surgical Sperm Retrieval

Intro To Surgical Sperm Retrieval

If fathering a child is your dream but you’re still suffering from extremely low numbers of sperm in your semen, your doctor may suggest you undergo surgical sperm retrieval or harvesting. Around 10% to 15% of infertile men have extremely low sperm count, but they still can increase their chances by trying this method. Sperm retrieval refers to any method used to get sperm for fertility purposes. Clearly, there are many ways to get sperm, and they’re divided into nonsurgical and surgical methods. Nonsurgical methods include penile vibratory stimulation (PVS) and electroejaculation (EEJ). Surgical methods, on the other hand, include testicular sperm extraction (TESE), testicular sperm aspiration (TESA), percutaneous epididymal sperm aspiration (PESA), and others. Nonetheless, doctors often utilize in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) to achieve pregnancy following surgical sperm retrieval.

Benefits of Surgical Sperm Retrieval

Surgical sperm retrieval is a method of assisted reproductive technology that can help you father a child. Doctors often suggest it for men who aren’t able to ejaculate or who have little or no sperm in the semen. In short, the benefits of surgical sperm retrieval include:

Benefits of Surgical Sperm Retrieval
  • 1Get the best quality sperm from the testicles or epididymis
  • 2Get enough sperm for freezing or immediate use
  • 3Avoid direct injury to the reproductive tract and testicles
  • 4Receive a painless, minimally invasive treatment
  • 5Receive a largely successful treatment

Candidates for Surgical Sperm Retrieval

To prepare you for the procedure, your doctor is likely to do the following:

 Candidates for Surgical Sperm Retrieval
  • 1Perform fertility evaluation for you and your partner
  • 2Obtain medical history and perform a complete physical exam
  • 3Request laboratory testing to investigate sperm count and health
  • 4Request testicular biopsy to determine the cause of low sperm count
  • 5Choose or recommend the sperm retrieval method that suits you best

Steps of Surgical Sperm Retrieval

The steps of surgical sperm retrieval differ depending on the technique used. Each technique has its own special tools and steps. Testicular sperm aspiration (TESA) is the simplest and most cost-effective method. Doctors perform TESA in their clinics and only need 10 minutes to complete it. Below are the steps of this method:

1. Anesthesia

1. Anesthesia

First, your doctor gives you a local anesthetic agent to numb your testicles.

2. Sperm Aspiration

2. Sperm Aspiration

Next, they use a needle to aspirate sperm and testicular tissue.

3. Sperm Evaluation & Freezing

3. Sperm Evaluation & Freezing

Finally, they send the sperm to the laboratory to evaluate and cryopreserve them.

Recovery After Surgical Sperm Retrieval

Regardless of the technique used, the recovery period after the procedure ranges from a few days to a week. If you have stitches, you will need more time to recover. Most men get quick recovery without complications. Instructions to follow during this period include:

Recovery After Surgical Sperm Retrieval
  • 1Avoid strenuous activity and wear a jockstrap during the recovery phase
  • 2You can use ice packs to alleviate discomfort and encourage healing
  • 3Your doctor may give you antibiotics before and after the procedure to avoid infection
  • 4You can return to your office work after 1-2 days. However, if your work is heavy, you need to wait 5-10 days.
  • 5Avoid sexual intercourse for 4 days.

Risks of Surgical Sperm Retrieval

Surgical sperm retrieval is a safe procedure, but it is still carrying some potential risks, such as:

Risks of Surgical Sperm Retrieval
  • 1Pain, infection, or bleeding
  • 2Failure to find sperm
  • 3The need to undergo other procedures
  • 4Testicular damage (rare)

With this technique, doctors can retrieve sperm in about 70% of cases.

Surgical sperm retrieval will be a great option for you in case you have no sperm in your semen due to blockage. This problem can occur as a result of the following reasons: Previous vasectomy Sexually transmitted infection Retrograde ejaculation or anejaculation (inability to ejaculate normally) Sperm production problems due to chemotherapy, genetic conditions, or testicle removal

– It is a process in which a single sperm is injected into an egg. – It is used in cases of low sperm count or absence of sperm in the semen. In this case, the sperm is extracted from the testicles directly.

The procedure needs only 10 minutes, but it can take several hours to extract sperm from a man who has problems with sperm production.

– Wife’s age. – Original causes of infertility. – The number of previous attempts. – Condition and number of eggs.

– Testicular injury. – Acute infections of the testicle. – Congenital defects. – Exposure to large amounts of harmful chemicals. – Hormonal imbalances. – Retrograde ejaculation. – Obstruction of the semen vessel. – Severe decrease in the number or motility of the sperm.



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