Testicular Sperm Aspiration in Pune
Several men use the Sperm Retrieval process to get sperm to meet the purpose of Fertility. Several methods are inbuilt into the Sperm Retrieval process. This process is done to identify the condition that further tells why the sperms are not present in the semen of an individual. It also includes the demands of the individuals and the surgeon’s skill. The Urologist further performs the methods of the Sperm Retrieval process.
Everything You Need to Know About Testicular Sperm Aspiration
What is TESA | Types | When to Consider | Treatment Procedure | Recovery
What is TESA: Testicular Sperm Aspiration?
TESA is a process that is involved in Sperm Retrieval. In this process, a sample of semen is taken from the testicle, where the sperm cells and tissues are removed with the help of a small needle that is further attached to a syringe. In addition, the sperms are removed from the tissues in a laboratory with the help of a microscope. The separated sperm can be beneficial to fertilizing eggs directly for infertility treatment.
The TESA is highly recommended to persons with a fertility problem especially caused by a blockage of the ducts, and stops the sperm from getting ejaculated. For example, Vasectomy, certain genetic conditions, ejaculation problems, infection, or other conditions can result in such problems. Furthermore, TESA is also highly beneficial for men who want to have a child even after a serious surgery that has made that individual infertile, like Cancer treatments, etc.
What are the different types of Sperm Aspiration?
The sperm aspiration, commonly known as sperm harvesting or retrieval, is normally done with the help of a needle and can also be provided with some medications to sedate him further. In addition, Anesthesia is also considered to numb the area, and the whole process only takes about 30 minutes and leaves no pain.
The different types of Sperm harvesting and extraction methods include the following:
1. PESA- Percutaneous Epididymal Sperm Aspiration
This method is done for men who are conducting the Sperm Retrieve for IVF/ ICSI, including the obstructive Azoospermia from a vasectomy or infection. The PESA can be performed by the local anesthesia in the clinic itself.
2. TESA: Testicular Sperm Aspiration
The TESA is also quite similar to the PESA and can be performed in local anesthesia. This is addition can be coordinated with the female partner’s egg retrieval.
3. TESE- Testicular Sperm Extraction
TESE is also considered the method that involves a small incision in the testicles to gather information regarding the tubules for the sperm. This needs a scheduled procedure and can be performed with proper sedation and alone anesthesia in the operating room.
4. MESA: Microepididymal Sperm Aspiration
The person dealing with Vasal or epididymal obstruction can consider the MESA. Unlike TESE, this is also performed with a scheduled procedure. This method includes general anesthesia and a microscope. This is also one of the preferred methods to deal with the congenital bilateral absence of the vas deferens.
5. Microdissection TESE
Men facing Sperm Production problems and azoospermic can consider using the Microdissection TESE method. This method has taken the position of the TESE method and has significantly improved the rate of sperm retrieval in men facing Azoospermia (zero sperm count). This is a safer procedure than any other method.
12+ Years of Experience as
Sexologist and Infertility Specialist
12+ Years of Experience as
Sexologist and Infertility Specialist
When to consider Sperm Retrieval?
Sperm Retrieval can be considered when a person faces difficulty in conceiving. This process is for men who have a low sperm count or no sperm count and face a problem during ejaculation. When Sperm Retrieval is used with in vitro fertilization and ICSI, it gives good and assured results.
Your Urologist can perform the Sperm Retrieval to meet the following conditions:
In the Obstructive Azoospermia, the testicles make sperms, but it gets blocked in the men’s reproductive ducts and stop them from mixing in the semen. In addition, this kind of blockage can also be known as Vasectomy.
Furthermore, due to birth problems, there might be novas-deferens which normally occur due to the gene factor causing cystic fibrosis. Such a situation can also include the blocks in the epididymis and ejaculatory duct, making it difficult to ejaculate.
Non-Obstructive Azoospermia is when the male body fails to create any sperm or a low sperm that is considered zero sperm count. Blood tests and several hormones and gene tests can further find the cause of this kind of problem.
There are situations where the same men face no ejaculation of semen during sexual stimulation.
This is the situation where no visible semen is found with sexual orgasm. This is mainly caused because the seminal fluid cannot reach the urethra.
This situation includes a wrong flow of semen in the urethra. As a result, the semen is forced back into the bladder instead of coming out through the penis. This situation does not harm the body but can cause infertility.
What is the treatment procedure of Sperm Retrieval?
Anejaculation or retrograde ejaculation, ejaculation can be induced to collect the semen. This further incluThe analysis of the semen is performed with the help of micro-plastic SCA (Sperm Class Analyzer, Microptic, and Barcelona, Spain). This is performed to understand the flow of the sperm. Moreover, a retrospective analysis is also conducted to understand the asthenozoospermia. If the survey further denotes the presence of asthenozoospermia, then an immediate TESA should be performed by the Urologist. Moreover, the Urologist receives detailed information about the person, including family background, history, physical examination, and appropriate laboratory testing.
The Urologist can further perform the following treatments to help a man have a normal ejaculation:
1. Non-Surgical Sperm Retrieval
Anejaculation or retrograde ejaculation, ejaculation can be induced to collect the semen. This further includes two methods
- Penile Vibratory Stimulation (PVS)
This is performed with the help of a vibrator further placed at the top of the penis to create an ejaculation.
- Electro Ejaculation (EEJ)
EEJ is moreover done with a probe that helps to send electrical signals to the seminal vesicle and prostate. The Urologist can perform this in the office for those who do not have any sensations or feelings. Furthermore, people with normal sensations can demand anesthesia.
2. Testis Sperm Retrieval
There are several ways to remove sperm from the duct. Some of the methods that fall under Testis Sperm Retrieval include:
Recovery after performing the Sperm Retrieval
The recovery from TESA sperm retrieval can range from a few days to weeks. Several men are told to take rest until they get a good recovery. Urologists will further provide medications to deal with the pain. Antibiotics can also be prescribed to deal with infectious risks. People with stitches need a higher time than people without surgery. Some possible problem a person can face after performing the surgery includes:
- Severe Pain
- Possibility of not finding the Sperm
- Loss or injury to the testicles.
Azoospermia is a health condition where a man’s body doesn’t produce any sperm. It can be a result of a blockage in the reproductive tract, hormonal or ejaculation problems, or issues with testicular structure or functions.
Workup for Male Infertility
Male infertility is a disorder in which a guy is unable to make his wife pregnant owing to an underlying health problem. These underlying disorders are infertility issues that make it difficult to conceive normally.
In a time when in vitro fertilization may result in a pregnancy with just a little quantity of high-quality sperm, the genetic integrity of sperm is critical for fertilization success and proper embryo development.
Testicular Sperm Aspiration
Several men use the Sperm Retrieval process to get Sperm to meet the purpose of Fertility. Several methods are inbuilt in the Sperm Retrieval process.
Oligospermia is a fertility issue present in the male and further is characterized by the low sperm count. Low sperm count further can be described as the semen ejaculated during an orgasm contains a lower amount of sperm than the normal.
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Dr. Ramit Raosaheb Kamate
MBBS ,DNB, DGO, FRM (UK)
Dr. Ramit Kamate is a Reproductive Medicine Consultant and Sexologist with experience of 12+ years. He specialises in Sexual Medicine for male and female, Fertility Treatment, Pre and Post Delivery Care, Normal Vaginal Delivery (NVD), Tubectomy/Tubal Ligation, Natural Cycle IVF, MTP.
Dr. Ramit Kamate finished MBBS from B J Medical College, Pune. He pursued Masters’s In Reproductive Medicine from Hamilton University, UK & IBCME Dubai. Completed Fellowship in Cosmetic Gynaecology and Sexual Medicine from USA.
MBBS DGO DNB Gold Medalist
Fellow In Sexual Medicine (USA)
Fellow In Reproductive Medicine
Fellow In Cosmetic Gynecology (USA)
Fellow In Ultrasound And Laparoscopy
Fellow In Stem Cell Medicine
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