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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Dr. Radhika Seth’s Sheer Brilliance Shone Bright!

We visited Cloudnine Fertility, Malad a few months ago and sought an intracytoplasmic sperm injection (ICSI) treatment to help us conceive. My husband and I met with Dr. Radhika Seth, who patiently heard and understood our case. She recommended the road ahead, while making sure we were comfortable and on the same page. Dr. Seth is a gem of a person! She always welcomed us with a smile and ensured that her diagnosis and treatment approach fit 100%. We were impressed with her warm, encouraging nature. Her sheer brilliance and professionalism shone bright! We are satisfied with the fertility treatment and would recommend Dr. Seth.

Cloudnine Fertility Customer
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Dr. Indu Madhusudhan’s Treatment Did Wonders!

Our journey at Cloudnine Fertility, Jayanagar was remarkably good, through conception and beyond. Dr. Indu’s treatment did wonders and the staff too was caring and friendly. We’re super happy with the overall experience.

Cloudnine Fertility Customer
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Cloudnine Fertility, Jayanagar Has a  Positive, Cohesive Team

Our consultant, Dr. Uma Maheshwari extended all her support during our treatment at Cloudnine Fertility, Jayanagar. The support staff and nurses were friendly and guided us at every step. Moreover, their positive words were extremely reassuring. We would like to thank them all.

Cloudnine Fertility Customer
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Dr. Uma Maheshwari Fulfilled Our Dream of Conceiving a Baby

Our experience at Cloudnine Fertility, Jayanagar was off to a great start, thanks to Dr. Uma Maheshwari’s words of motivation. We became hopeful about our chances of conception. During each visit, the whole Cloudnine team was helpful and supportive. Many thanks to everyone who was involved in our journey.

Cloudnine Fertility Customer
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Dr. Reeta Biliangady Stood By Us Like a Pillar of Strength

Our journey at Cloudnine Fertility, Jayanagar – from the day we met Dr. Reeta Biliangady to the day we received the news of being pregnant – has been wonderful! Dr. Biliangady has served as a pillar of strength throughout. We will be eternally grateful to her and the entire Cloudnine team.

Cloudnine Fertility Customer
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We’re Genuinely Thankful to Dr. Sumana Gurunath

We were welcomed on Cloudnine, Malleswaram with first-class hospitality. Dr. Sumana Gurunath was very kind and handled our case with utmost care. Her fertility treatment was successful. We are genuinely thankful to everyone who made our journey awesome!

Cloudnine Fertility Customer
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Dr. Manju Nair Is a Ray of Hope for Childless Couples

Without a doubt, Dr. Manju Nair is the best fertility specialist we’ve ever met! She’s a ray of hope for couples trying to conceive. Her positive, considerate nature made our experience priceless. We wish for her to continue with her sterling treatments and brighten others’ lives just like she did ours! A big thanks to her for everything!

Cloudnine Fertility Customer
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Dr. Manju Nair Brought Back Our Long-lost Smiles!

It has been a real pleasure to consult Dr. Manju Nair, who always has a calming effect on our stressed minds. She has restored our long-lost smiles, for which we shall be eternally grateful. Thank you for your super successful treatment, Dr. Nair; we are over the moon!

Cloudnine Fertility Customer
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Dr. Manju Nair Has Served As Our Angel On Earth!

I’d like to thank Dr. Manju Nair for her wonderful treatment and for truly elevating us to ‘Cloudnine’. Her positive words fuelled our confidence during the treatment process and I’m happy to share that I’m now two months pregnant. Dr. Nair has served as our angel on earth!
Cloudnine Fertility Customer
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Today, We Are Truly ‘On Cloudnine’ Thanks to Dr. Manju Nair’s Fertility Treatment

When we entered Cloudnine Fertility, Old Airport Road for our first visit, we were confused and scared. But as soon as we met Dr. Manju Nair, we were given the reassurance that we needed. She gave us comfort and confidence and explained everything in detail with a smile on her face. She was our ray of hope and has truly been a blessing in disguise for us. She was always reachable and always responded swiftly. Today, we are truly ‘on Cloudnine’ only because of her and her amazing team. We are eagerly counting down to the day we will welcome the newest member of our family!

Cloudnine Fertility Customer

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