Surgical Sperm Retrieval (TESA/TESE/PESA)
Specialist procedures may retrieve sperm from the epididymis or testis when suitable sperm are not present in the ejaculate.
Choosing an approach
The procedure depends on whether sperm production or a blockage is the main concern. Examination and selected tests help guide specialist planning.
Before treatment
Discuss anesthesia, discomfort, bleeding, infection and the possibility that sperm may not be found. Genetic counseling or testing may be recommended in some circumstances.
Use in fertility care
Retrieved sperm may be used with ICSI or stored when appropriate. Retrieval does not guarantee fertilization or pregnancy; planning involves coordination with the fertility laboratory.
This information supports a discussion with your doctor. Suitability, availability and any specialist referral should be confirmed with the hospital. Individual care plans and outcomes vary.
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