Sperm retrieval is a technique for obtaining sperm for fertility. Azoospermia is a condition in which there is no sperm in ejaculation. It can be caused by a blockage of the genital ducts (as in the event of a vasectomy) or a lack of sperm production in the testicles. Even if no sperms are found in the ejaculation, sperm from the testicle can be extracted using minimally invasive procedures. After retrieving sperm, intracytoplasmic sperm injection can be used to achieve pregnancy (ICSI). The cause of azoospermia will determine the technique required to collect sperm. Importantly, regardless of the surgical procedure used, not all men will have sperm in their testes.
Cost Of Surgical Sperm Retrieval
The Surgical sperm retrieval cost can vary according to the city, and the hospital one chooses. However, the price of surgical sperm retrieval in India at various locations also differs based on the complexity involved in preparation. In Hyderabad, surgical sperm retrieval costs Rs 20,000 to Rs 40,000.
| City | Average Cost Range |
|---|---|
| Hyderabad | Rs 20,000 to Rs. 40,000 |
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Get A Second OpinionWho is the best candidate for Surgical Sperm Retrieval?
- Someone who has had a vasectomy.
- If the patient has chlamydia or another sexually transmitted illness.
- These procedures may be used if you cannot ejaculate (retrograde ejaculation or anejaculation).
- If you have no sperm in your semen due to a sperm production issue, they may have microTESE (non-obstructive azoospermia).
- If fertility hasn't returned to normal, whether you've received chemotherapy or radiation.
- When the patient has a hereditary disease that interferes with their fertility.
- One of the testicles has been removed (perhaps as part of cancer treatment).
Types of Surgical Sperm Retrieval
There are many ways to get sperm from the reproductive tract. The goal is to get the best quality and number of sperm. Care is taken not to harm the reproductive tract, allowing future sperm retrieval or reconstruction if needed./p>
Some of these procedures are:
- Testicular sperm aspiration (TESA)
- Percutaneous Epididymal Sperm Aspiration (PESA)
- Testicular sperm extraction (TESE)
- Microepidymal Sperm Aspiration (MESA)
- Microdissection TESE (microTESE)
Benefits of Surgical Sperm Retrieval
Surgical Sperm Retrieval
- Surgical sperm retrieval (SSR) is a medical procedure used to obtain sperm from men with obstructive or non-obstructive azoospermia.
- It involves techniques like Testicular Sperm Extraction (TESE), Micro-TESE, and Percutaneous Epididymal Sperm Aspiration (PESA).
Increased Chances of Fertility
- SSR provides a viable option for men who are unable to ejaculate viable sperm.
- It supports assisted reproductive technologies (ART) such as in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).
Genetic Parenthood Possibility
- Men with certain infertility conditions can achieve genetic parenthood through SSR.
- It eliminates the need for donor sperm, preserving genetic lineage.
Minimal Invasiveness and Safety
- SSR procedures are minimally invasive and can be performed under local anesthesia.
- They have a high safety profile with low risk of complications.
Psychological Benefits
- Successful SSR can significantly enhance psychological well-being and self-esteem in men facing infertility.
- It reduces the emotional stress associated with infertility by providing a solution.
Cost-Effective in Long Term
- Though initially expensive, SSR can be cost-effective compared to repeated cycles of less effective fertility treatments.
- It offers a one-time solution with potentially higher success rates.
High Success Rates
- Techniques like Micro-TESE have high success rates in retrieving viable sperm, even in cases of severe testicular failure.
- Success rates improve with advancements in SSR techniques and ART.
Surgical Sperm Retrieval Side Effects
Even while surgical sperm retrieval is usually safe and successful, there may be some adverse consequences. Depending on the particular method (PESA, TESA, TESE, or Micro-TESE), these could change. The following are a few potential adverse effects:
Pain and Discomfort
- Mild pain, discomfort, or swelling in the area where the sperm is retrieved is common. This usually resolves within a few days to weeks.
Infection
- As with any surgical procedure, there is a slight risk of infection at the incision or needle site. Proper aftercare and hygiene minimize this risk.
Bleeding and Hematoma
- At the sperm retrieval location, there may be slight bleeding or the development of a haematoma, which is a collection of blood beneath the skin. This typically resolves on its own but may require attention in some cases.
Scarring
- Although rare, scarring at the sperm retrieval site can occur, especially with open procedures like TESE. This can affect future fertility or lead to discomfort.
Testicular Damage
- Invasive methods like TESE carry a slight risk of damaging the testicular tissue, which could affect hormone production or future sperm production.
Failure to Retrieve Sperm
- In some cases, sperm may not be successfully retrieved, especially in men with severe non-obstructive azoospermia. Advanced techniques like Micro-TESE can improve success rates.
Hormonal Changes
- There may be temporary changes in testosterone levels due to the retrieval procedure, although these are usually short-lived.
Emotional and Psychological Impact
- Some patients may experience emotional stress or psychological effects, mainly if the procedure is unsuccessful or if the underlying infertility cause is difficult to treat.
It’s essential to consult with an experienced fertility specialist to understand the risks and choose the best approach based on your specific condition.
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Medicover is one of the largest multispecialty hospitals, offering patients round-the-clock comprehensive care and treatment under one roof. We have the finest techniques and technology, Latest facilities, the best infrastructure, and a team of highly skilled doctors, surgeons, and staff who deliver excellent treatment outcomes. Our experienced urologists, surgeons, and doctors perform adequate surgical sperm retrieval for the patients using advanced technologies.
Why Choose Medicover:
Medicover is one of the largest multispecialty hospitals, offering patients round-the-clock comprehensive care and treatment under one roof. We have the finest techniques and technology, cutting-edge facilities, the best infrastructure, and a team of highly skilled doctors, surgeons, and staff who deliver excellent treatment outcomes. Our experienced urologists, surgeons, and doctors perform adequate surgical sperm retrieval for the patients using advanced technologies.
