What is the possibility of getting healthy sperm after surgical sperm retrieval?

Dr. Sunita Singh Rathore

If a man is unable to produce sperm during ejaculation or in semen, surgical sperm retrieval is the primary method used by the doctor. Infertility is known as “the strength of your reproductive organs, how fertile they are, how generative they are to help you with conceiving,”. It means that to proceed with any ART method, your doctor will analyze the fertility of both males & females and their capabilities to conceive through natural processes. The factor affects both males & females equally. Females may have specific fertility issues like egg production & incapabilities, uterus incapabilities to uphold the embryo, etc. Similarly, males may also have infertility issues like a decline in the formation of sperm or no sperm production. Here at Vinsfertility Pvt Ltd, we help you with surgical sperm retrieval while working closely with the team of expert doctors. The procedure coincides with the egg collection from the female partner's body and later receiving IVF or IUI for better results. [lwptoc hierarchical="1"]

What could be the reasons for sperm retrieval in men?

Sperm retrieval is the only solution for males when pregnancy is the goal, and men who intend to have this result have little or no sperm in semen or ejaculation. In such a case, the doctor may suggest you collect sperm from other reproductive parts or tracts. For the best results, sperm retrieval is used with IVF (In Vitro Fertilization) and ICSI (Intracytoplasmic Sperm Injection). If the intended parents are unable to conceive naturally for almost a year or two and have gone through other methods like IVF; in that case, analyzing sperm quality is the only solution. Your urologist will analyze your semen under a microscope. And if it shows that there is no sperm in the semen ("azoospermia"), then surgical sperm retrieval may be needed.

What is the procedure of surgical sperm retrieval?

There are six different types of surgical sperm retrieval, and all work differently.

PESA (percutaneous epididymal sperm aspiration)

The procedure is the least invasive and the simplest of all. Here, the doctor collects the sperm through a fine needle and directly from the epididymis- the connecting tube forming testicles. The doctor may follow the procedure while sedating you with general or local anesthesia. Your urologist may try NAB (needle aspiration biopsy) if the procedure doesn't work.

TESE (testicular sperm extraction)

This procedure is the proxy of other methods where PESA and NAB fail. This one is an invasive procedure where the doctor takes out biopsies of the particular area of testes. The doctor may extract the testicular tissue while examining the content under a microscope. Using a small amount or number of sperm is enough to give hope for the child.

Micro-dissection TESE

This one is the new technique and is slowly replacing the other technique, TESE. This is optimal when men with no sperm in their semen approach doctors or urologists. This procedure is very similar to TESE, but here in this process, the doctor uses micro-dissecting.

TESA (testicular sperm aspiration)

Here, the doctor will help you with the insertion of a needle into the testicles using a biopsy 'gun.' After that, the sample of sperm and tissue is obtained using gentle suction. With the careful use of the microscope, the doctor may dissect the reproductive part, and like any other technique, they may store the sperm or culture them for future use, like for the IVF cycle.

Percutaneous biopsy

The procedure is similar to TESA, but a different needle or tool is used here. Sometimes, the process is known as a fine needle biopsy, where the doctor extracts or retrieves testicular tissues to fragment many sperms.

MESA (Microsurgical Epididymal Sperm Aspiration)

This process requires general anesthesia and a microscope. When the other procedures fail, and any other method is not applicable to correct any obstruction; then your doctor may proceed with this. The procedure gives you an almost 70% success rate.

Does the procedure of surgical sperm retrieval produce any harm to the male testis?

If you cannot conceive and think that you may have some issues, there can be Azoospermia- the infertility cause in many men's lives. Azoospermia is a condition where the testes of males develop blockages and doesn't allow sperm to pass even during ejaculation or in semen. Surgical Sperm Retrieval is the process that a doctor follows when the intended man chooses to become a father after having infertility issues like Hyperspermia, and others.

Although the procedures are safe and secure, the side effects are rare. Once the doctor confirms that you have semen problems, the doctor may proceed with the surgical processes one-by-one. You may expect slight bleeding and infections.
A few men suffer because of a drop in their testosterone following surgical sperm retrieval. This can become a source of issues for sexual functions, muscle weakness, anxiety, and sleep.
If you or anyone you know suffers from all these problems, you may seek help from your nearest urologist.

What are the benefits of sperm removal in men?

Surgical Sperm Retrieval consists of various surgical & nonsurgical procedures. The doctor cannot directly jump over one method to help you. They will have to test one way and its effect and go step-by-step. This may take time, but compared to other fertility procedures, the process helps to check the male infertility, efficiency of the male's sperm and fertility level. It gives a lot of additional information about the trial & error methods.

High success rates
The procedure is relatively painless.
Men with vasectomies can utilize the sperm retrieval method to have more kids.

How healthy is your sperm after sperm retrieval?

Having no sperm in semen or during ejaculation is known as Azoospermia. This is the kind of disease that is prevalent in more than 10% of infertile men. Among these, Nonobstructive Azoospermia (NOA) is the major cause for testicular failure. Impaired sperm production & testicular failure represent 60% of these cases. Since reproductive and fertility alternatives are trial-and-error methods, doctors cannot tell you whether you will be able to conceive or not without understanding the formation of embryos with successful results. Even in the cases of IVF, the doctors require to retrieve 10-20 eggs at one time. This may require a cycle of injections, medicines, and trips to the laboratory. Also, since the motive of sperm retrieval is to conceive, the urologist may coordinate with your male partner so that they can retrieve the fresh sperm & can later freeze them as per the need. When you choose to use IVF to conceive, the doctor may proceed with surgical retrieval to receive or retrieve the sperms and inject them directly into the egg of the female partner, and this process is known intracytoplasmic sperm injection (ICSI).

How much does surgical sperm retrieval cost in India?

Although the cost may vary as per the various factors, particular data or cost limitations exist. Depending on the case's complexity, the hospital may charge you for the preparation and the whole surgical procedure. Moreover, the cost for surgical sperm retrieval may begin from a minimum of ₹ 20,000.

Conclusion

Vinsfertility is one of the largest fertility centers, offering round-the-clock medical, fertility, comprehensive, and essential treatment under one roof. The medical team serves you with fine tools, technologies, cutting-edge facilities, the best infrastructures, and a couple of highly skilled doctors. The experienced medical staff of surgeons, doctors, urologists, and gynecologists help to have adequate surgical sperm retrieval and various other conceiving alternatives.