Surgical sperm aspiration (SSA) is a technique used to extract sperm directly from the testicles or epididymis of a man who is unable to produce viable sperm through ejaculation. This procedure is typically used in cases of male infertility where the cause of the infertility is a blockage preventing the sperm from reaching the ejaculate or a low sperm count. Surgical sperm aspiration can be an effective way to obtain sperm for use in assisted reproductive technologies such as in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).

There are several types of SSA procedures, including:

• Testicular Sperm Aspiration (TESA): This procedure involves using a needle to extract sperm from the testicles directly. The needle is inserted into the testicle and a small amount of tissue is removed. The tissue is then processed in the laboratory to extract the sperm.
• Percutaneous Epididymal Sperm Aspiration (PESA): This procedure involves inserting a needle into the epididymis to extract sperm directly. The epididymis is a long, coiled tube located behind the testicles where sperm is stored before ejaculation.
• Microsurgical Epididymal Sperm Aspiration (MESA): This procedure is similar to PESA, but it is performed using a surgical microscope. MESA is typically used when PESA is unsuccessful or when higher numbers of sperm are required.
• Testicular Sperm Extraction (TESE): This procedure involves removing a small piece of testicular tissue from the testicles surgically. The tissue is then processed in the laboratory to extract the sperm.

TESA (Testicular Sperm Aspiration) is a fertility treatment that is used to extract sperm directly from the testicles for use in in vitro fertilization (IVF) or intrauterine insemination (IUI). It is a procedure that is typically used for men who have a condition known as non-obstructive azoospermia, which is a condition where there is no sperm in the semen due to a blockage in the reproductive tract or a problem with sperm production.

TESA is a minimally invasive procedure that is typically performed under local anaesthesia. During the procedure, a small needle is inserted into the testicle to extract a small amount of tissue. The tissue is then examined under a microscope to locate and retrieve sperm. The sperm is then used in IVF or IUI to fertilize an egg and create an embryo.

TESA is a highly effective treatment option for men with non-obstructive azoospermia. Up to 80% of men who undergo TESA can produce sperm that can be used for IVF or IUI. It also has a high success rate, with many couples going on to have successful pregnancies after undergoing TESA.

If you are a man with non-obstructive azoospermia, TESA may be a viable treatment option for you. It is important to consult with a fertility specialist to determine if TESA is the right treatment for you and to understand the potential risks and benefits of the procedure.

Renew Healthcare is dedicated to helping couples achieve their dream of starting a family. Our team of experienced fertility specialists is committed to providing you with the highest quality care and support throughout your journey. Contact us today to schedule a consultation and learn more about TESA and other fertility treatment options available to you.

PESA (Percutaneous Epididymal Sperm Aspiration) is a fertility treatment that is used to extract sperm directly from the epididymis, a tube located on the back of the testicle. It is a procedure that is typically used for men who have a condition known as obstructive azoospermia, which is a condition where there is no sperm in the semen due to a blockage in the reproductive tract.

PESA is a minimally invasive procedure that is typically performed under local anaesthesia. During the procedure, a small needle is inserted into the epididymis to extract a small amount of fluid. The fluid is then examined under a microscope to locate and retrieve sperm. The sperm is then used in in-vitro fertilization (IVF) or intrauterine insemination (IUI) to fertilize an egg and create an embryo.

PESA is a highly effective treatment option for men with obstructive azoospermia. Up to 70% of men who undergo PESA can produce sperm that can be used for IVF or IUI. It also has a high success rate, with many couples going on to have successful pregnancies after undergoing PESA.

If you are a man with obstructive azoospermia, PESA may be a viable treatment option for you. It is important to consult with a fertility specialist to determine if PESA is the right treatment for you and to understand the potential risks and benefits of the procedure.

Surgical sperm aspiration may be recommended for men who have a low sperm count, abnormal sperm morphology, or sperm motility issues. It may also be recommended for men who have had a vasectomy or for those who are unable to produce sperm through ejaculation due to an obstruction in the reproductive tract. Surgical sperm aspiration may also be recommended for men who have a genetic condition that affects their ability to produce sperm.

As with any surgical procedure, there are risks associated with surgical sperm aspiration. These risks include bleeding, infection, and damage to surrounding tissues. In addition, there is a risk of not finding viable sperm during the procedure, which can be disappointing for couples who are hoping to conceive using this method.

It is important for couples considering surgical sperm aspiration to have a thorough discussion with their doctor about the risks and benefits of the procedure. Additionally, couples should be prepared for the possibility that surgical sperm aspiration may not be successful and that alternative methods may need to be explored.

Surgical sperm aspiration can be an effective method for obtaining viable sperm for use in assisted reproductive technologies. It is important for couples considering this procedure to have a thorough understanding of the risks and benefits and to have a discussion with their doctor about whether surgical sperm aspiration is the best option for them. With careful consideration and proper preparation, surgical sperm aspiration can offer hope to couples struggling with male infertility.