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.
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.
- 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.