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Victory IVF Fertility Lab
6C-1, Jalan Harimau,
Taman Century,
80250 Johor Bahru,
Johor, Malaysia.
+607-3313223
+607-3318223
+60143891009
+60143891009

Surgical Sperm Retrieval (SSR)

This is a minor surgery done to retrieve sperm from azoospermic men – men who have no sperm in their semen. There is a 50-90% chance of sperm being successfully retrieved. The retrieved sperm will be used in Intra-Cytoplasmic Sperm Injection (ICSI) treatment. 
 
Indications:
  • Obstructive azoospermia, eg: Vas deferens or epididymal obstruction 
  • Non-obstructive azoospermia, eg: Testicular failure
  • Inability to ejaculate
  • Vasectomy 
The sperm can be retrieved from the epididymis (the site of temporary sperm storage) or the testicle (the site of sperm production), using 4 techniques below: 
 
PESA (Percutaneous Epididymal Sperm Aspiration) 
This technique can be applied for men with obstructive azoospermia. A small needle is placed into epididymis and simply aspirate fluid inside epididymis. This fluid will be assessed for presence of sperm.
 
MESA (Microsurgical Epididymal Sperm Aspiration) 
This technique can be applied for men with obstructive azoospermia. An operating microscopy is used to locate the tubules of epididymis precisely so large numbers of sperm can be retrieved. The aspirated fluid will be assessed for presence of sperm. 
 
TESA (Testicular Sperm Aspiration) 
This technique can be applied for men with obstructive azoospermia. A small needle is placed into testicle and simply aspirate fluid inside testicle.  This fluid will be assessed for presence of sperm.
 
TESE (Testicular Sperm Extraction) 
This technique can be applied for men with non-obstructive azoospermia. A small incision is made in the scrotal skin and testicular tissues from several regions of the testicle are biopsied. The biopsied tissues are processed and assessed for presence of sperm. 
 

Surgical Sperm Retrieval (SSR)

  

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