Scalpelless vasectomy
- Indication - male contraceptive method. According to the Law 373/2011 Coll., any informed man over 21 years of age can undergo a vasectomy.
- Procedure of the procedure - under local anaesthesia, without the use of needles and scalpel. During the procedure, the doctor pulls out a part of the fallopian tube with a small puncture on each side of the scrotum, breaks it and seals and ties the two ends. The puncture on the scrotum is so small that it is not necessary to suture it after the procedure. The whole procedure takes about 10 to 20 minutes.
- The Patient leaves approximately 30 minutes after the procedure unaccompanied.
- Recovery - 1 - 2 days of rest after the procedure is recommended. Even if a man is sexually active after a vasectomy and has orgasms as before, his ejaculate does not contain sperm. Restoring the patency of the fallopian tubes after vasectomy is not recommended, especially if there is a long time interval after the procedure. The only other possibility to obtain sperm after vasectomy is by MESA/TESE.
- Check examination - control by the surgeon is not necessary, the full effect of vasectomy occurs after 20-25 ejaculations (in about 5-8 weeks). To verify the effect of vasectomy we perform a control spermiogram, which confirms the absence of sperm. It is recommended to repeat the control spermogram twice with an interval of 2 weeks.
Circumcision - circumcision
- Indication - removal of the foreskin of the penis - complete or partial. It can be performed for medical, aesthetic or religious reasons. In our conditions it is most often performed due to health problems, however, there are more and more clients who wish to have circumcision for aesthetic reasons.
- Procedure of the procedure - in local anaesthesia or total anaesthesia - according to the agreement and scope.
- Patient leaves about 30 minutes after the procedure unaccompanied or several hours after the procedure accompanied (in case of general anaesthesia).
- Recovery - 1 - 2 days of rest after the procedure is recommended. For 2 weeks, avoid higher physical exertion, swimming in swimming pools, in natural bathing areas and avoid visiting the sauna.
- Check-up examination - check-up by the surgeon within 4 weeks or as required.
Frenuloplastika
- Indication - The frenulum, or bridle, is a strip of tissue connecting the inner leaf of the foreskin to the penis at a point below the glans. It helps to pull the foreskin over the glans. If the frenulum is shortened, the foreskin cannot be pulled well over the glans, leading to difficulty and sometimes pain during erection or intercourse. A shortened bridle is also prone to injury.
- Procedure process - Frenuloplasty is a minor surgical procedure that addresses a shortened bridle and related difficulties. The procedure is performed under local anesthesia and takes a few minutes.
- Patient leaves about 30 minutes after the procedure unaccompanied or several hours after the procedure accompanied (in case of general anaesthesia).
- Recovery - 1 - 2 days of rest after the procedure is recommended. For 2 weeks, avoid higher physical exertion, swimming in swimming pools, in natural bathing areas and avoid visiting the sauna.
- Check-up examination - check-up by the surgeon within 4 weeks or as required.
Varicocele (Interruption of dilated venous plexus of the scrotum)
- Indications - dilated veins or varicose veins on the scrotum can cause pain, impaired sperm quality and count, and decreased levels of male hormones.
- Procedure of the procedure - pre-operative examination by a general practitioner, the procedure itself including preparation takes about 60 minutes. The gold standard is microsurgery. Under general anaesthesia, all dilated veins leading to the testicle are severed and ligated. The skin incision is about 25 mm and is placed under the inguinal canal.
- The Patient leaves several hours after the procedure with an escort.
- Recovery - 1-2 days after the procedure, rest and cooling of the wound is recommended. For 2 weeks, avoid higher physical exertion, swimming in swimming pools, in natural baths and skip visiting the sauna.
- Check-up examination - check-up by the surgeon within 4 weeks or as needed at the urology outpatient clinic.
Microsurgical sperm retrieval from the testicle/testicle (MESA/TESE)
- Indication - detected repeated in the ejaculate (azoospermia) or the inability to obtain sperm in erectile dysfunction (eg, paraplegics).
- Procedure of the procedure - pre-operative examination by a general practitioner, the procedure itself including preparation takes about 30 minutes.
MESA (Micro Epididymal Sperm Aspiration)
obtaining sperm from the epididymis under general anesthesia. The epididymis is exposed through an approximately 3 cm-long incision in the scrotum, and fluid is sucked from its ducts with a pipette, which is immediately analyzed in the embryology laboratory. If it contains live sperm, they are frozen and then used to fertilize the eggs using the in vitro fertilization method, which follows the retrieval of the sperm.
obtaining sperm from the epididymis under general anesthesia. The epididymis is exposed through an approximately 3 cm-long incision in the scrotum, and fluid is sucked from its ducts with a pipette, which is immediately analyzed in the embryology laboratory. If it contains live sperm, they are frozen and then used to fertilize the eggs using the in vitro fertilization method, which follows the retrieval of the sperm.
TESE (Testicular Sperm Extraction)
If it was not possible to obtain any sperm with the MESA technique, we proceed to perform TESE. It is a procedure that can be used to obtain sperm from the ducts of the testicle, especially when the sperm are unable to be released or transported from the testicle to the epididymis.
This procedure follows on from the previous MESA procedure. A small amount of testicular tissue is removed from small incisions in the scrotum. The obtained testicular tissue is then further analyzed in the laboratory. If live sperm are found in the embryology laboratory, the tissue is frozen for further use.
If it was not possible to obtain any sperm with the MESA technique, we proceed to perform TESE. It is a procedure that can be used to obtain sperm from the ducts of the testicle, especially when the sperm are unable to be released or transported from the testicle to the epididymis.
This procedure follows on from the previous MESA procedure. A small amount of testicular tissue is removed from small incisions in the scrotum. The obtained testicular tissue is then further analyzed in the laboratory. If live sperm are found in the embryology laboratory, the tissue is frozen for further use.
- The Patient leaves several hours after the procedure with an escort.
- Convalescence — 2-4 days after the procedure, rest and cooling of the wound are recommended. For a period of 2 weeks, avoid heavy physical exertion, swimming in pools, natural swimming pools and skip a visit to the sauna.
- Control examination — control by the operator and dressing of the wound, usually on the second day after the procedure or by appointment.
Cryopreservation of sperm
- Freezing and preservation of sperm.
- We will take your blood for testing for sexually transmitted diseases (legal obligation of the medical facility).
- In the collection room, which is lockable and soundproof, you will privately submit a sperm sample in a cup, which you will then place in the connecting window with the laboratory.
- The sperm is mixed with a protective solution and gradually cooled in a special device to a temperature of -196 degrees Celsius, the temperature of liquid nitrogen.
- At this temperature, the frozen sperm, which we call cryospermatum, is stored in a special cryocontainer.
Andrology / Urology Medical Team
Ladislav Mašek
Kateřina Šťastná Bedrnová
Price list: | |
| Andrology - in-person consultation & examination | 55 € |
| Vasectomy | 780 € |
| Circumcision | 800 € |
| Frenuloplasty | 630 € |
| Varicocele - including anesthesia | 1 800 € |
| MESA/TESE - including anesthesia | 1 990 € |
| Semen analysis | 70 € |
| Sperm cryopreservation (3 straws) | 280 € |
| Each additional straw (value is added to the cryopreservation) | 120 € |
| Storage fee for cryopreserved material/year | 120 € |
| Fee for storage of cryopreserved material with pos. STD/year | 300 € |
| STD (sexually transmitted disease screening) | 120 € |
