Try out PMC Labs and tell us what you think. Learn More. A variety of surgical options exists for sperm retrieval in the setting of obstructive azoospermia OA. With appropriate preparation, the majority of these techniques can safely be performed in the office with local anesthesia and with or without monitored anesthesia care MAC. In addition to providing a step-by-step description of each available approach, we introduce and describe a new technique for sperm retrieval for OA called minimally invasive epididymal sperm aspiration MIESA. The MIESA utilizes a tiny keyhole incision, and the epididymis is exposed without testicular delivery.
MicroTESE, TESE Procedure, & TESA Procedure | University of Utah Health
This is called azoospermia. Forty percent of cases are due to a blockage obstruction in the reproductive tract. Problems with sperm production account for the rest. Depending on the cause, a man with azoospermia may still be able to father a child. A man with an obstruction may be able to have sperm retrieved with special surgical techniques. In vitro fertilization IVF is often needed to achieve pregnancy for these cases.
There are many ways to get sperm. The method used depends on why sperm aren't in the semen, what the patient wants, and the surgeon's skill. At the base of the penis, sperm and testosterone male hormone are made in the scrotum's 2 testicles. The sperm leave the testicles through a coiled tube called the epididymis. They stay there until they're ready to be used.
Call or. Request an Appointment. Doctors will usually recommend microTESE in these cases:. The microTESE success rate is quite favorable for men.