Patients with certain ejaculatory
disorders or no sperm in the ejaculate may be offered Surgical Sperm
Retrieval and given a chance to father their own child (with an ICSI
treatment cycle).
We offer the following types of SSR techniques:
- Percutaneous Epididymal Sperm Aspiration (PESA)
- Testicular Sperm Aspiration (TESA)
- Testicular Sperm Extraction (TESE)
For PESA, a small number of sperm is obtained directly from the
epididymis, which is the beginning of the outlet tube from the testicle.
If PESA is unsuccessful, TESA or TESE may be offered. In this
procedure, the sperm is obtained directly from the testicle.
Indications for Surgical Sperm Retrieval are as follows:
- Congenital bilateral absence of vas deferens
- Obstruction of both ejaculatory ducts
- Azoospermia
- Failed vasovasostomy
- Failed epididymovasostomy
