Surgical Sperm Retrieval
For azoospermic patients (patients whose semen have no sperm count) or male patients with a low sperm count in their ejaculated semen, surgical sperm retrieval is a procedure conducted by our experienced fertility specialist that can retrieve sperm from certain areas of the testes.
There are several options offered by Sunway Fertility Centre. Micro Epididymal Sperm Aspiration (MESA) and Percutaneous Epididymal Sperm Aspiration (PESA) are techniques used when there is an obstruction such as a blockage in the vas deferens or due to a vasectomy. Testicular Sperm Extraction (TESE) on the other hand is a technique practiced when there is the patient’s semen is found to have no or little sperm count despite having clear tubes in their testicles.
Below is an explanation of each procedure:
A small incision is made at the scrotum and under operating microscopy, sperm is aspirated from the epididymis.
This procedure is similar to MESA but it is not done under operating microscopy. This technique involves a needle and syringe placed directly at the epididymis to extract sperm.
This procedure on the other hand, is usually practiced when MESA was not successful. TESE involves the removal of a small amount of testicular tissue and sperm is retrieved individually under a microscope.