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

BOOK APPOINTMENT

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

quotes image

We Were Thrilled With the Services Provided on Cloudnine

The ever-smiling Dr. Manju Nair is an excellent fertility specialist, not to mention, extremely polite and courteous. We were thrilled with the services provided to us by her and the team of nurses. The entire treatment process was seamless and we are now blessed with a baby girl! We would like to thank everyone who made our journey on Cloudnine so wonderful!

Cloudnine Fertility Customer
quotes image

We Are Grateful to Dr. Manju Nair for Our Little Miracle!

We would like to thank Dr. Manju Nair and the entire team at Cloudnine Fertility from the bottom of our hearts. The staff members extended their absolute support and guided us throughout our journey. It was our life’s best experience! We are extremely grateful to Dr. Nair for our little miracle!

Cloudnine Fertility Customer
quotes image

Our IUI Was Successful, Thanks to Dr. Manju Nair

We had a wonderful experience with Dr. Manju Nair at the Cloudnine Fertility Clinic. We underwent an intrauterine insemination (IUI), and Dr. Nair and the entire support staff were very friendly, proactive and understanding at every stage. They took extremely good care of us. The IUI proved successful, and we were finally pregnant by the grace of God and Dr. Manju Nair’s expert treatment – a life update we had been eagerly awaiting. Our gratitude knows no bounds and we would like to thank each person involved in making our journey memorable.

Cloudnine Fertility Customer
quotes image

‘Hope Is Born Here’ is an Understatement for Cloudnine

If you ask me, ‘Hope Is Born Here’ is an inadequate tagline for Cloudnine. Dr. Manju Nair turned out to be my angel. She restored my happiness and I would like to thank her from the bottom of my heart. May God bless her, always!

Cloudnine Fertility Customer
quotes image

Dr. Manju Nair’s Efforts Were Truly Commendable

Our journey on Cloudnine started through Dr. Jyotshna Madan, who led us to Dr. Manju Nair. At the time, we were struggling with infertility, and Dr. Nair took care to give us a detailed diagnosis, and an explanation of each procedure during our visits. The way she lent her complete support and motivated us along the way was truly commendable. Additionally, she was easily reachable and this was vital for us during our journey. Apart from the treatment itself, the atmosphere on Cloudnine was amazing, as was the hospitality. We would like to thank Dr. Manju Nair and the entire Cloudnine team for everything they have done for us!

 

Cloudnine Fertility Customer
quotes image

Dr. Manju Nair Restored Hope and Positivity in My Life

I want to thank Dr. Manju Nair for everything; for bringing positivity into my life. She has restored hope in me and brightened my days, thanks to her successful treatment. She deserves a warm hug and a massive thanks. In addition, I had a lovely experience with the staff on Cloudnine.

Cloudnine Fertility Customer
quotes image

My Quick Journey to Conception Is Testament to Dr. Manju Nair’s Treatment Approach

Dr. Manju Nair is an excellent doctor. She made us feel at ease throughout, and allowed us to freely communicate all our problems. Her treatment approach was awesome, and the fact that I conceived so soon after meeting her is testament to that fact.

Cloudnine Fertility Customer
quotes image

We Are Grateful to Dr. Manju Nair for Our Little Miracle!

We would like to thank Dr. Manju Nair and the entire team at Cloudnine Fertility from the bottom of our hearts. The staff members extended their absolute support and guided us throughout our journey. It was our life’s best experience! We are extremely grateful to Dr. Nair for our little miracle!

Cloudnine Fertility Customer
quotes image

When I Look Back on Our Fertility Struggle, I Wish We Had Met Dr. Manju Nair Sooner

My wife and I had been trying for a baby for almost three years, having consulted at least 3-4 renowned doctors in Bangalore without any success. After two failed intrauterine insemination (IUI) cycles, we were advised a surgical scan. However, we were wary of going under the knife as part of a diagnostic procedure, and decided against it. Shortly afterwards, we met Dr. Manju Nair on Cloudnine, and we were pleased with our first interaction. She tried to understand our history, the tests done so far, and took note of all our past consultations. Then, she recommended some additional tests for my wife and referred me to an andrologist. Once she had our reports, she was able to pinpoint the problem within a few short weeks. Based on the findings, Dr. Nair communicated the most advisable treatment, and left the final decision to us. Given my sperm morphology, the options were limited – it was either surgery for me, or in vitro fertilisation (IVF). The surgical scan we had been recommended at our previous clinic wasn’t required at all. We went for IVF as per Dr. Nair’s suggestion and the procedure was a success. We were amazed when the pregnancy test showed positive. Today, our baby is almost four months old.

We really valued Dr. Nair’s friendliness, approachability, positivity and tell-it-like-it-is attitude. She boosted our confidence, gave us hope, yet, never made any false promises. We always came back feeling good after every consultation. I would definitely recommend Dr. Manju Nair to anyone struggling to conceive. She is the finest doctor we have ever met and we wish her continued success in the future.

When I look back on our fertility struggle of almost 3 years – visiting different doctors, waiting in long queues and undergoing numerous scans – I only wish we had met Dr. Nair sooner.

Cloudnine Fertility Customer
quotes image

My Experience on Cloudnine Was Seamless

As my fertility specialist, Dr. Manju Nair was cordial, understanding and super helpful. I couldn’t have asked for a better doctor for consultation! Also, I really appreciated the staff and nurses, who were kind and attentive to all my questions. I only have good things to say about my experience here! Keep up the good work!

Cloudnine Fertility Customer

Related Blogs