Surgical Sperm Retrieval

In the past, certain factors prevented some men from ever fathering children. Advanced reproductive technology now allows for the surgical removal of sperm and other surgical treatment options for male infertility. Dr. Mark Rispler partners with urologists for a multidisciplinary approach to resolving male infertility, and increasing the chances for you to conceive a child.

Innovative Fertility Center Specializes in Surgical Sperm Retrieval: MESA & TESE

Routine fertility testing–semen analysis–will reveal the number and quality of sperm. Many cases of male infertility can be diagnosed and treated in the Innovative Fertility Center IVF lab. With intracytoplasmic sperm injection (ICSI), eggs can be fertilized directly by injecting a sperm into an egg, so very few sperm are needed to achieve a successful pregnancy.

Certain sperm retrieval processes involve a specialized urologist to retrieve sperm. The IVF lab uses this carefully collected sperm to fertilize eggs with the hopes of a successful pregnancy.

When is Sperm Retrieval Necessary?

If no sperm are found in a man’s ejaculate, sperm retrieval procedures are necessary. A blockage of the ejaculatory system (obstructive azoospermia) or failure of sperm production in the testicle (non-obstructive azoospermia) will necessitate sperm retrieval.

Obstructive azoospermia is often caused by a prior vasectomy. However, a history of prior infection, hernia repair with mesh or other surgery on the testicles can also create problems.

Non-obstructive azoospermia may occur because of prior testicle infections, genetic conditions or hormone abnormalities, these health issues can interrupt the production of normal sperm within the testicle. Fortunately, normal sperm production can occur even with these conditions.

After a complete evaluation, Dr. Rispler, in conjunction with a partner urologist, will determine the best method of harvesting sperm, either with an open surgical approach, or through the skin using a needle.

Sometimes, Dr. Rispler can harvest enough sperm for intrauterine insemination (IUI), where the sperm are inserted directly into the woman’s uterus. Usually, the harvested sperm are used for in-vitro fertilization (IVF). The sperm can be used immediately, or frozen for use at a later time.

Types of Surgical Extraction of Sperm for Male Infertility

  • Microscopic Epididymal Sperm Extraction (MESA)

  • Testicular Sperm Extraction (TESE)