About Testicular Sperm Aspiration
Key Highlights
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Minimally invasive procedure with minimal scarring.Performed under local anesthesia, reducing surgical risks.Direct retrieval of viable sperm for use in IVF/ICSI.Offers a chance for biological fatherhood in cases of obstructive azoospermia.Typically performed as an outpatient procedure with a short recovery time.
Who is this surgery for?
- Obstructive Azoospermia (e.g., due to vasectomy, congenital absence of the vas deferens, or infection).
- Non-Obstructive Azoospermia where sperm production is severely low but may be present in pockets.
- Failed sperm retrieval via other methods like Percutaneous Epididymal Sperm Aspiration (PESA).
- Ejaculatory dysfunction (e.g., retrograde ejaculation) where sperm cannot be collected via ejaculate.
- As part of a planned IVF/ICSI cycle for severe male factor infertility.
How to prepare
- Comprehensive fertility evaluation and semen analysis to confirm the need for TESA.
- Pre-operative consultation with the reproductive urologist and IVF specialist.
- Blood tests and possibly hormonal profiling.
- Discussion of the procedure, risks, and alternative options.
- Patient may be advised to avoid blood-thinning medications (like aspirin) for a specified period before the procedure.
- Arranging for transportation home post-procedure, as driving is not recommended immediately after.
Risks & possible complications
- Mild to moderate pain, swelling, or bruising in the scrotum.
- Risk of bleeding or hematoma formation at the aspiration site.
- Low risk of infection, requiring antibiotics if it occurs.
- Potential for temporary or, very rarely, permanent reduction in testicular function.
- Possibility of no sperm being found (unsuccessful retrieval), especially in non-obstructive cases.
Recovery & hospital stay
- Most patients can go home within a few hours after the procedure.
- Application of ice packs and wearing supportive underwear can help manage swelling and discomfort.
- Over-the-counter pain relievers are usually sufficient for pain management.
- Avoidance of strenuous activities, heavy lifting, and sexual activity for 5-7 days is recommended.
- Follow-up with the doctor if there is excessive swelling, severe pain, fever, or signs of infection.
- The retrieved sperm is cryopreserved (frozen) for future use in IVF/ICSI cycles.
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Typical hospital stay: 0 days (Outpatient)
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Expected recovery time: 3-7 days
Frequently Asked Questions
If you are considering testicular sperm aspiration in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with ivf and reproductive medicine departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform testicular sperm aspiration. MediFyr helps you compare ivf and reproductive medicines and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for testicular sperm aspiration compare across other countries where we have data.
John Verma, a 32-year-old software engineer,...
John Verma, a 32-year-old software engineer, had always dreamed of starting a family with his wife, Priya. After a year of trying to conceive naturally, they sought help. John's semen analysis revealed azoospermia, a complete absence of sperm. Further testing, including hormone checks and genetic screening, pointed towards obstructive azoospermia, likely due to a childhood infection. His urologist explained that while his body produced sperm, a blockage prevented them from reaching the semen. The doctor recommended Testicular Sperm Aspiration (TESA) as a way to retrieve sperm directly from his testicles for use with IVF. On the day of the procedure, John felt a mix of anxiety and hope. The local anesthetic injection was a sharp pinch, but the aspiration itself was pressure rather than pain. The embryologist confirmed they had retrieved viable sperm. Physically, John recovered within a few days with some manageable soreness and bruising. Emotionally, the journey was taxing. The initial diagnosis was a blow to his self-image, filled with guilt and a sense of failure. After the successful TESA, a profound relief washed over him. While the IVF journey with Priya was just beginning, knowing he could contribute biologically lifted a heavy weight, replacing despair with cautious optimism and a renewed sense of partnership.
IVF and Reproductive Medicines for Testicular Sperm Aspiration
Explore experienced ivf and reproductive medicines who regularly perform testicular sperm aspiration and provide pre- and post-operative care in India.
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