Ureteral Reimplantation Treatment

Sperm Retrieval Procedures

TESA (Testicular Sperm Aspiration)

What It Is: TESA is a procedure used to collect sperm directly from the testicles, often done for men with low sperm count or no sperm in the ejaculate (azoospermia).

Symptoms Indicating Need:
  • Absence of sperm in semen analysis (azoospermia)
  • Issues with sperm production or retrieval
  • Infertility despite normal sexual function
Benefits:
  • Provides sperm for IVF or ICSI in cases of male infertility
  • Minimally invasive compared to open surgical methods
  • Outpatient procedure with quick recovery time
Risks:
  • Infection at the needle insertion site
  • Bleeding or bruising
  • Pain or discomfort post-procedure
  • Potential damage to testicular tissue or surrounding structures
MICRO-TESE (Microsurgical Testicular Sperm Extraction)

What It Is: MICRO-TESE is an advanced procedure for men with severe infertility issues, using a microscope to extract sperm from testicular tissue.

Symptoms Indicating Need:
  • Severe oligospermia (low sperm count) or azoospermia
  • Failure of other sperm retrieval methods
  • Genetic or hormonal issues affecting sperm production
Benefits:
  • Higher success rates in retrieving viable sperm compared to TESA
  • Better for cases with very few sperm or where sperm is present in specific areas of the testicle
  • Can improve chances of successful IVF/ICSI
Risks:
  • Longer recovery time compared to TESA
  • Possible formation of scar tissue
  • Risk of testicular damage
  • Pain, swelling, or bruising at the site
Microscopic Varicocele Surgery

What It Is: Microscopic varicocele surgery is a procedure used to treat varicoceles—enlarged veins in the scrotum that can affect sperm production and fertility.

Symptoms Indicating Need:
  • Pain or discomfort in the scrotum
  • Noticeable enlargement of veins in the scrotum
  • Decreased fertility or lower sperm count
  • Testicular atrophy or reduced testicular size
Benefits:
  • Can improve sperm count and quality, enhancing fertility
  • Minimally invasive with quicker recovery
  • Lower risk of complications compared to open surgery
Risks:
  • Infection or bleeding at the incision site
  • Potential recurrence of varicocele
  • Risk of damage to surrounding structures
  • Post-surgical pain or discomfort

TESA is useful for obtaining sperm when it's absent in semen, but it has risks like infection. MICRO-TESE offers a higher success rate for sperm retrieval in severe cases but comes with risks such as testicular damage and longer recovery. Microscopic Varicocele Surgery treats varicoceles to improve fertility and has fewer complications compared to open surgery, though risks remain.