SURGICAL SPERM RETRIEVAL (SSR)
Surgical Sperm Retrieval (SSR) refers to the use of suction needle at the beginning of the sperm duct or testis which may cause a small wound opening or a microscopic joint. This is indicated for men with infertility problem with no sperm ejaculated caused by the following:
- Obstructive Azoospermia
- Non – Obstuctive Azoospermia
- Clean the testicles and the surrounding area with a sterile techniques.
- Provide local anesthesia and / or in combination with anesthesia level through the blood vessels.
- Follow the specific steps of each of the following methods:
- PESA (Percutaneous Epididymal Sperm Aspiration) is a procedure that uses small needles to suck at the epididymis in order to bring the sperm out.
- TESE (Testicular Sperm Extraction) is a procedure that opens a small incision in the scrotum area and leads to the testes membrane to extract the semen and / or send a pathological examination and / or freeze for future use.
- MESA (Microsurgical Epididymal Sperm Aspiration) is a procedure performed by a small incision in the scrotum area and a microscope helps to suction a small amount of the epididymis to bring the sperm out.
- TESA (Testicular Sperm Aspiration) is a procedure that uses suction needle at the testicle area. It collects the testicular tissue to extract the sperm and / or to send for pathological examination and / or freezing for future use.
The success rate depends on the cause of the absence of sperm, but an average of about 20%.
The risk of sperm collection by surgery at various stages or complications even if there is little chance of occurring are as follows:
- The risk of using anesthesia
- fever, chills
- Surgical infection
- Bleeding at the surgical wound
- Papules in the scrotum
- Pain on the surgical wounds and testes
- Injuries to the testes
- Testicles may dry up
- Decrease in size or loss of function