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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They say, ‘Never lose Hope’

Dr. Manju Nair was my doctor here at Cloudnine. I have a 9-year-old daughter but could not conceive for the 2nd time. After coming to Cloudnine not only were my spirits uplifted but my hope of conceiving after these many years turned into reality 🙂

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Positivity spread across to enlighten our hearts

It was a good experience at Cloudnine. Dr. Uma is one of the best doctors in the city. She was very understanding of our situation and gave us a consultation in a very calm manner with much clarity. The atmosphere in Cloudnine is very positive and welcoming.

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The touch of genuine care

The doctor assigned to us showed genuine care towards us and provided the best opinion, Dr. Uma explained all the processes involved with complete compassion. The environment was very comfortable. We give credit to cloudnine for this impressive treatment.

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A great experience in making

The staff was immensely supportive, right from the support-desk staff, the nurses, to the doctors. I was guided and helped wholeheartedly. The entire team equally contributed to this great experience. I thank you all for it.

Cloudnine Fertility Customer
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Dr. Manju Nair Has a Divine Persona

 

I don’t have enough words to describe Dr. Manju Nair’s qualities adequately. She is simply the best. She is confident, caring, friendly, positive and has some kind of magic in her hands. Among all the fertility specialists we met, she shone through with her divine persona. Dr. Nair’s vibrant personality made us feel comfortable and I thank her and her team for the wonderful care they took at every step of our treatment. Hats off to them all!

Cloudnine Fertility Customer
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Dr. Manju Nair Is the Friendliest Doctor We Have Ever Met

This past year has been a wonderful journey for us. Dr. Manju Nair has helped us navigate highs and lows, and is the most honest and friendly doctor we have ever met. ‘Thank you’ doesn’t quite encapsulate the gratitude we have for her, and we are indebted to her for all she has done for us.

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Coming to Cloudnine Fertility, Old Airport Road Was the Best Decision of My Life

I think I made the best decision of my life by coming to Cloudnine Fertility, Old Airport Road and meeting Dr. Manju Nair. She listened to my concerns with immense patience and calmed my fears about the scans I would have to undergo on my way to conception. A big thanks to her for tolerating the fuss and frenzy I inevitably made during each scan. Dr. Nair proposed a wonderful fertility treatment, due to which, I have now conceived twins. My husband, my family and I are grateful to her, and I would recommend any couple struggling to conceive, to meet her. Also, a big thanks to the support staff for being so considerate and taking such good care of me!

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Dr. Uma Maheshwari Cocooned Us In Comfort and Positivity

We had a great experience at Cloudnine Fertility, Jayanagar. Dr. Uma Maheshwari was very calm throughout our treatment and cocooned us in comfort and positivity. The counselling we received was excellent.
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Dr. Uma Maheshwari Genuinely Cares About Each Couple

Dr. Uma Maheshwari genuinely cares about each couple, and provided us with valuable guidance through our infertility treatment. She explained every aspect of the cycle to us. Overall, we found Cloudnine Fertility, Jayanagar to be a comforting environment with the best selection of treatments.
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Our Experience at Cloudnine Fertility, Jayanagar Was Good!

We found the staff at Cloudnine Fertility, Jayanagar very supportive. They guided us wonderfully through the various steps of our treatment. The front desk staff was highly cooperative. Our overall experience was good. Thanks to the whole team!
Cloudnine Fertility Customer

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