Surgical Sperm Retrieval – TESA, MESA, PISA, Micro TESE

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What Is Surgical Sperm Retrieval?

Surgical sperm retrieval is a surgical procedure that draws sperm directly from the testicles; the technique is usually paired with a complementary fertility treatment, such as intracytoplasmic sperm injection (ICSI). The procedure may be performed either with a fine needle or through a biopsy by way of an incision in the testicles. Surgical sperm retrieval is a perfect fit for men who have undergone a vasectomy, whose sperm counts are below average, or for whom ejaculation is problematic, owing to an injury or infection.

Why Choose Surgical Sperm Retrieval?

There are several scenarios in which surgical sperm retrieval may reap rewarding results.

Obstruction in the Vasa Deferentia

The vasa deferentia are the tubes that transport sperm from the testicles to the urethra. Sometimes, these ducts may be blocked, either naturally, or as a result of a vasectomy. Thus, sperm have no way of reaching the urethra, and may never exit the male body, even during an ejaculation. On Cloudnine, our ultra-modern surgical sperm retrieval procedures extract sperm directly from the testicles, so that they don’t have to make the long, arduous journey through the vasa deferentia, only to reach an impasse.

Absence of the Vasa Deferentia

In some cases, the vasa deferentia may be found to have been missing since birth, meaning that the path connecting the testes to the urethra never existed. In such cases, surgical sperm retrieval may prove vital to extricate valuable sperm which would otherwise remain permanently trapped.

Low Sperm Count

A low sperm count could make it challenging for semen to flow through the vasa deferentia. So, while your basic plumbing may be excellent, sperm may not be able to move through the vasa deferentia on account of low quality. Sperm retrieval follows a process of drawing and then concentrating sperm to ensure that the motility and density of sperm are elevated.

Is Surgical Sperm Retrieval Right for Me?

If you have been diagnosed with absent or blocked vasa deferentia or low sperm reserves, or if you have had a vasectomy in the past, surgical sperm retrieval may be the perfect solution for you. In all three cases, the sperm housed in your testicles have no way of reaching the urethra. While it is possible to surgically correct the blockage in the vasa deferentia, the results often yield a much lower success rate than that of a surgical sperm retrieval procedure.

What Are the Steps of Surgical Sperm Retrieval?

Surgical sperm retrieval may be performed in one of four ways: percutaneous epididymal sperm aspiration (PESA), testicular sperm aspiration (TESA), microsurgical epididymal sperm aspiration (MESA) or micro testicular sperm extraction (micro TESE). The difference among the procedures lies in the way that the sperm is extracted.

1

Sedation

On Cloudnine, we believe in enveloping every guest in care and comfort during every routine, however big or small. In keeping with that belief, our procedures entail anaesthetising a guest beforehand, to ensure a smooth, painless experience.

2

Sperm Extraction

After being produced in the testicles, sperm go on to be stored in the epididymis. Sperm are then extracted through microsurgery, and used for fertilisation. The method of extraction depends on the technique of sperm retrieval.

What Are the Risks of Surgical Sperm Retrieval?

Sperm retrieval is considered a routine surgery, and the procedure is relatively painless when performed under local anaesthesia. The risks associated with sperm retrieval are minor. That said, every single sperm retrieval procedure carried out on Cloudnine is performed with utmost dedication and care, to minimise the risks listed below.

Swelling and Bruising

In some cases, sperm retrieval may lead to slight swelling or bruising, but rest assured, that the discomfort will subside within a few short days.

Infection

When performed under unsanitary conditions, any invasive procedure could lead to an infection. On Cloudnine, our sanitised, salubrious facilities are conducive for routine and complicated surgeries.

Insufficient Sperm Extraction

If adequate sperm are not extracted during the retrieval process, the procedure may have to be repeated. Our fertility mavens are time-served specialists in the art of sperm retrieval, and always strive to ensure that a single extraction cycle is optimised.

TESTIMONIALS

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Cloudnine Helped Us Realise Our Long-Held Dream of Parenthood.
Dr. Radhika Sheth was our pillar of strength throughout our days of infertility. When we consulted her, she suggested that my wife and I pursue fertility treatment on Cloudnine. Cloudnine gave us the best of both worlds; the comfort of consulting Dr. Sheth and easy access to first-class amenities. Over the span of 4 months, we underwent 6 treatment cycles in order to beat our stubborn condition. And in the end, our persistence paid off. Thanks to Dr. Sheth, we conceived. We were so content with our experience, that we opted to continue our affiliation to Cloudnine with their signature maternity experience. After all, Cloudnine helped us realise our long-held dream of parenthood.

Mr. Amit Kumar
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My fertility treatment plan on Cloudnine was composed of an HSG test followed by two IVF cycles. The experience was very good, and if it weren’t for the support and encouragement I received from the doctors and nurses, I wouldn’t have become a mother to my baby boy. I am thankful to Cloudnine for giving me the gift of motherhood.

Mrs Meena
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I was referred to Dr. Uma Maheshwari early this year. At the outset, it was an emotional experience, but Dr. Maheshwari and all the nurses, especially Divya, Omana and Ranjitha, were warm and embraced me like they would, family. Dr. Uma was very caring and always remembered every little detail about my pregnancy. Best of all, she was available when we needed her.
I consider Cloudnine a very lucky place. I came here looking to go through fertility procedures and artificial conception but ended up conceiving naturally. I would recommend Dr. Maheshwari and her entire team to those looking for quality fertility solutions. Thanks to the entire team for taking such good care of me.

Mrs Rakshambi Kai K
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I opted to meet Dr. Radhika Sheth at Cloudnine Hospital, Malad, to discuss fertility treatment options. I knew I’d made the right choice when I discovered how approachable she was. She was very cooperative, always available, ever-smiling and full of positive energy. Not only did she suggest the right treatment plan for me, she worked hard to make me feel special along the way.

Mrs Shruti Pansari
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I am extremely pleased with the experience we had with Dr. Radhika Sheth. After having undergone fruitless fertility treatments for more than two years with other doctors, I was finally able to conceive after an IVF cycle administered by Dr. Sheth. Needless to say, she was very helpful and supportive throughout my treatment tenure. I am and always will be eternally thankful to Dr. Sheth for giving me my precious bundle of joy.

Mrs. Bhumika Vashisth
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I am extremely happy with the treatment we received from Dr. Radhika Sheth and her team at Cloudnine Clinic. The doctor devoted ample time to hearing about our medical history, present problems and general issues we were facing. She was very understanding and would patiently answer all the questions we asked her. During the first visit itself, Dr. Sheth assured us that we would get pregnant; that there was absolutely no doubt about it. Hearing those words was a big relief and instantly boosted our confidence. We started our fertility treatment last year, after which, much to our delight, we finally conceived. We are eagerly awaiting our baby now and can hardly express our happiness in words. We consider ourselves very lucky that God directed us to Cloudnine Clinic.
Thanks to Dr. Radhika Sheth and her entire team for making our journey to conception worthwhile. Last but not the least, a big thumbs up to all the administration staff for the wonderful operational support.

Mrs Vaishnavi Ghosalkar
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I am very happy to share experience I had with Sure. I tried to conceive from past 1 year without any success. I had gone to many doctors in Bangalore and at my hometown but I couldn’t conceive. I came to know about Sure from Cloudnine hospital. I had posted a message for appointment and I immediately got a call from Sure. I was amazed with their immediate response. This experience continued. I got an appointment with Dr. Jyothi Menon and was very much satisfied with her answers during my first visit itself. I got confidence with her words. Based on her advice, we thought of going for a treatment at Sure. Her way of treatment was very good. We had to visit Sure 4-5 times in the first cycle. My first cycle at Sure was successful. I am 3 months pregnant now. I am very thankful to Dr. Jyothi Menon. Staff at sure are really caring, supportive and are cool in answering all the questions. Especially I need to mention about Swetha at reception. I had very good experience with her every time I go there. Ambience at sure is very good and hygienic. Nursing staff is also very caring.Overall it was a wonderful experience.

Mrs. Asha
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Doctor was available as per the appointment which is very much appreciated. Doctor spoke to us in a very encouraging manner and presented the facts clearly. Support staffs were very polite and responded to situation. GREAT SERVICE!

Mrs. Harini
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The team is fantastic, very co-operative and knows their jobs. At OT sister Shyamala was at most courteous, understanding by sharing her love and affection to me. The admin team is well managed and carry their duties effectively GRE-Geetha and others. The other nurses Sangeetha, Sherly others whose name I am not able to recollect were very good especially while injections. Overall very impressed with the setup and have started referring people.

Mrs. Jaya
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It was a wonderful experience, I am very glad with the way all the doctors, nurses have supported me. Hope to see the clinic grow bigger and maintain its reputation throughout. Thanks to all of you and I hope to come back as a ‘MOM’.

Mrs. Payal

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