Best Surgical sperm recovery Doctor / Specialist in Gachibowli, Hyderabad | Dr. Rinke Tiwari

                                               SURGICAL SPERM RECOVERY

Surgical sperm retrieval may be a treatment option for men with:
An obstruction preventing sperm release, due to injury or infection
Congenital absence of the vas deferens (men born without the tube that drains the sperm from the testicle)
Vasectomy
Non-obstructive azoospermia - the testicles are producing such low numbers of sperm that they don't reach the vas
In the first three conditions, sperm are produced by the testes, but are unable to be ejaculated because of the blockage or absence of the vas. The man can still ejaculate seminal fluid but this fluid will not contain any sperm. It is possible to collect sperm directly from the epididymis.
Some men have orgasms but no semen comes out of the penis. An orgasm is the physical experience that happens because of sexual stimulation. Ejaculation (release of semen) may occur when you reach orgasm. You may also have muscle contractions, an increased heart rate, breathing rate, blood pressure and sweating. Lack of visible semen with sexual stimulation may be due to anejaculation (lack of ejaculation) or retrograde ejaculation:
Anejaculation is when no seminal fluid reaches the urethra.
Retrograde ejaculation is when semen gets into the urethra but flows the wrong way. Instead of going out through the penis, the semen is pushed back into the bladder. This doesn’t hurt the body, but it can cause infertility.
Anejaculation or retrograde ejaculation can be caused by injuries, medical or surgical conditions. Some of these are:
Spinal cord injury
Advanced diabetes
Multiple sclerosis.
Psychological issues
Pelvic surgery
Possible Side Effects of Surgical Sperm Recovery:
Bleeding
Infection
Pain
The chance of not finding sperm
The need for future procedures
Testicular injury or loss (these are rare)
Occasionally it may be possible to surgically unblock the tube that carries the sperm during the ejaculation process, although this has a low success rate. In cases of vasectomy surgical correction in the form of vasectomy reversal may offer another treatment to this problem. This is a self-funded treatment that is not avaialable at CRM.
In cases of non-obstructive azoospermia (complete absence of sperm) very small amounts of sperm may be produced and can be collected directly from the testes. This is done by performing multiple testicular biopsies at random. In these cases a biopsy will normally be sent to the laboratory for analysis as to the possible cause of the problem.
In men with obstructive azoospermia there is a very high chance of recovering sperm by this method (>90%). In men with non-obstructive azoospermia the chances of recovering sperm is approximately 40%. If we are successful at retrieving sperm the pregnancy rate for this treatment is very similar to that of ICSI with ejaculated sperm.

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