Surgical Sperm Retrieval
sperm strieval


This procedure involves collection of sperm from a small piece of testicular tissue, obtained through a single or several biopsies.


This procedure is carried out in men with:



• Obstructive azoospermia
• Congenital absence of vas deferens
• Vasectomy
• Non-obstructive azoospermia
• Difficulty in Ejaculation



:- Techniques :-


PESA-      Percutaneous Epididymal Sperm Aspiration
Sperm are collected from the epididymis, where the sperm are stored usually. A needle is directly inserted into the epididymis and aspirated.

TESE-      TEsticular Sperm Extraction
Retrieval of sperm from a biopsy or several biopsies from testicular tissue.




 





:- Procedure :-


This is a minor operative procedure which is carried out under local anaesthesia. A small tissue is biopsied from the testis. The extracted tissues are teased and examined for the presence of sperm on the same day.Usually the sperm extracted by TESE procedure result in a very low number of sperm. It is sometimes possible to freeze the extracted sperm if the number of sperm retrieved are enough.Those frozen TESE sperm are later thawed at the time of ICSI. But sometimes the sperm quantity might not be sufficient or the quality might not be good enough for freezing, hence fresh TESE procedure on the day of ICSI should be carried out.




:- General Information :-



1. How long is the duration of stay in the hospital?

This is a day-care procedure, which require a minimum of 4-5 hours of stay in the hospital.



2. How long is the procedure?

Procedure might take few minutes to hours (minimum 15 minutes to maximum 1 hour) based on the sperm retrieval procedure.

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3. Will there be any problem post procedure?

Possible problems are:
a. Pain
b. Bleeding
c. Infection



4. What are the instructions to be followed post-procedure?

a. Tight compression dressing
b. To avoid strenuous activity atleast for a week
c. Can resume back to office work in 24-48 hours
d. To continue medications (usually Antibiotics & pain killer) as per doctors advise.





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