Male infertility surgery refers to specialised surgical procedures aimed at retrieving sperm in men who have difficulty producing or releasing sperm naturally. Such surgical treatments or procedures play a crucial role in assisted reproductive technologies (ART) like IVF (In Vitro Fertilisation) and ICSI (Intracytoplasmic Sperm Injection). Standard methods include TESA (Testicular Sperm Aspiration), PESA (Percutaneous Epididymal Sperm Aspiration), and Micro-TESE (Microsurgical Testicular Sperm Extraction). These surgeries offer hope for couples struggling with infertility due to azoospermia (absence of sperm in semen), obstructive causes, or testicular failure.
Why Is It Needed?
Male infertility surgery becomes the best option when:-
Azoospermia: Complete lack of sperm in semen due to obstruction or non-obstructive causes.
Failed ejaculation: In men who cannot ejaculate due to neurological or structural problems.
Failed previous ART cycles: When sperm retrieval is essential for successful conception.
Blockages: Caused by vasectomy, infections, or congenital absence of vas deferens.
Surgical Techniques
1. TESA (Testicular Sperm Aspiration)
A needle is inserted directly into the testis to aspirate sperm.
It is the best option for non-obstructive azoospermia or when other methods fail.
Performed under local anaesthesia, often combined with ICSI for fertilisation.
2. PESA (Percutaneous Epididymal Sperm Aspiration)
Professional experts aspirate sperm from the epididymis using a fine needle.
Suitable for obstructive azoospermia (e.g., post-vasectomy cases).
Minimally invasive, performed under local anaesthesia.
Doctors take small testicular tissue samples to extract viable sperm.
Highly effective in severe cases of non-obstructive azoospermia.
Performed under general anaesthesia with minimal tissue damage.
Benefits
Enables biological fatherhood without donor sperm.
High success rates when combined with ICSI.
Minimally invasive options are available.
Quick recovery with outpatient procedures in most cases.
Risks & Considerations
Mild pain or swelling post-procedure.
Risk of infection or hematoma.
Multiple attempts may be necessary for sperm retrieval.
Not all retrieved sperm may be viable.
Recovery & Aftercare
Most patients recover within 24–48 hours.
Avoid strenuous activities for a few days.
Follow-up is essential to assess healing and plan for IVF/ICSI.
FAQs on Male Infertility Surgery
1. Is sperm retrieval painful?
Most procedures are performed under local or general anaesthesia, making them painless. Mild discomfort may occur post-surgery.
2. How long does the procedure take?
TESA and PESA take about 30 minutes, while Micro-TESE, due to its precision, can take 2–3 hours.
3. Can sperm retrieved be frozen for later use?
Yes. Sperm obtained from these procedures can undergo cryopreservation for future IVF/ICSI cycles.
4. What are the chances of success?
The success of procedures, though, depends on the underlying cause of infertility. Micro-TESE has the highest success rate for non-obstructive azoospermia.
5. Will I need hospitalisation?
Most procedures are outpatient; patients can go home the same day.
Why choose Tender Palm Super-Speciality Hospital for Male Infertility Surgery in Lucknow, India?
Tender Palm Super-Speciality Hospital is one of the best hospitals for Male Infertility Surgery in Lucknow, India. Our experienced Urologists use advanced technology and provide patient-focused care, ensuring safer procedures, quicker recovery, and improved long-term outcomes. We offer the best treatment with effective and affordable pricing, making the Male Infertility Surgery cost suitable for patients seeking high-quality care in Lucknow, India.
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