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Surgical Extraction of Sperm

Aster CMI Hospital's Fertility and In Vitro Fertilization (IVF) department is dedicated to providing comprehensive and advanced reproductive healthcare services to help couples and individuals achieve their dream of parenthood. Surgical extraction of sperm is one of the key services offered by this department, and it plays a crucial role in cases where male infertility issues exist, preventing the natural release of sperm for conception. In this content, we will provide a detailed overview of how Aster CMI Hospital's Fertility and IVF department handles the surgical extraction of sperm as one of their main services:

1. Consultation and Evaluation:
    - The process begins with an initial consultation with a specialized andrologist or urologist who is experienced in male infertility and surgical sperm extraction procedures.

    - A thorough medical history, physical examination, and relevant diagnostic tests (such as semen analysis, hormone profiles, and genetic testing) are conducted to determine the cause and extent of male infertility.

2. Selection of Surgical Sperm Extraction Method:
    - The urologist, in consultation with the couple and the fertility specialist, will determine the most appropriate surgical sperm extraction method based on the individual's specific condition. Common methods include:
     a. Percutaneous Epididymal Sperm Aspiration (PESA): This technique involves aspirating sperm directly from the epididymis, the storage area for sperm.
     b. Testicular Sperm Aspiration (TESA): TESA involves extracting sperm directly from the testicles.
     c. Microsurgical Epididymal Sperm Aspiration (MESA): In cases where higher sperm quality is required, MESA is performed, which is a microsurgical version of PESA.
     d. Testicular Sperm Extraction (TESE): TESE involves extracting sperm through a biopsy of the testicular tissue.

3. Preoperative Preparation:
    - Before the surgical procedure, patients are provided with detailed preoperative instructions, including fasting and any necessary medication adjustments.
    - Consent forms are obtained, and any concerns or questions are addressed to ensure patient comfort and understanding.

4. Surgical Procedure:
    - The surgical extraction is typically performed on an outpatient basis and under local or general anesthesia, depending on the method chosen.
    - The urologist uses specialized microsurgical instruments to access and extract sperm from the selected area, ensuring minimal discomfort and a high degree of precision.

5. Sperm Processing and Evaluation:
    - Once sperm are successfully extracted, they are examined by the andrology laboratory team. This step ensures that only viable and healthy sperm are selected for use in the IVF process.

6. IVF or ICSI Procedure:
    - The extracted sperm can be used for traditional in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) based on the couple's specific fertility plan and needs.
    - In IVF, the sperm and egg are combined in a controlled environment to allow natural fertilization to occur.
    - In ICSI, a single sperm is directly injected into the egg, making it an effective option for severe male infertility cases.

7. Postoperative Care:
    - Patients are monitored postoperatively for any complications or discomfort, and they are provided with appropriate pain relief medication and guidance on aftercare.

8. Follow-Up and Support:
    - We ensure that patients receive ongoing support, counseling, and follow-up appointments to track progress and address any concerns throughout the fertility treatment process.

Aster CMI Hospital's Fertility and IVF department is committed to providing the highest level of care and expertise to patients seeking surgical sperm extraction for male infertility. The multidisciplinary team of specialists, state-of-the-art equipment, and patient-centric approach make it a leading choice for those on their journey to parenthood.

Our Doctors

We have some of the best specialists from around the world, they bring years of experience and offer evidence-based treatment to ensure the best care for you.

Our Doctors

We have some of the best specialists from around the world, they bring years of experience and offer evidence-based treatment to ensure the best care for you.


At Aster Hospitals we provide the highest quality of care and a transformative experience for all your healthcare needs. With our network of multi-speciality hospitals, specialised doctors, and world-class technology, we bring global standards of medical care to our patients.

What is surgical sperm extraction, and when is it recommended?

Surgical sperm extraction is a medical procedure to retrieve sperm from men with fertility issues. It's recommended when natural sperm release is not possible due to various factors.

What are the different surgical sperm extraction methods available?

Methods include PESA, TESA, MESA, and TESE, each targeting different areas of the male reproductive system.

How long does the surgical extraction procedure typically take?

The duration varies depending on the chosen method, but most procedures are relatively quick and can be completed within an hour.

What happens to the extracted sperm after the procedure?

Extracted sperm are processed and evaluated in the laboratory, and healthy sperm are then used for IVF or ICSI.

What is the success rate of surgical sperm extraction in achieving pregnancy through IVF/ICSI?

Success rates can vary, but the procedure is often successful in helping couples achieve pregnancy when male infertility is the primary issue.

How do I know if I need surgical sperm extraction?

A thorough evaluation by a specialist is necessary. If you have a low sperm count, blockages, or other issues affecting sperm release, you may be a candidate.

Is the procedure painful, and what type of anesthesia is used?

The procedure is performed under local or general anesthesia, ensuring that patients don't experience pain during the extraction.

Is there a risk of complications associated with surgical sperm extraction?

While complications are rare, potential risks include infection, bleeding, or discomfort, but the medical team takes precautions to minimize these.

Is there a specific recovery period following the procedure?

Recovery is generally quick, and patients can usually return to their normal activities within a few days.

Are there any additional services or support offered by Aster CMI's Fertility and IVF department during the fertility treatment process?

Yes, the department provides ongoing support, counseling, and follow-up appointments to guide patients through their fertility journey and address any concerns.