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Specialist procedures

Surgical sperm collection

Surgical sperm collection refers to specialist procedures used to retrieve sperm directly from the reproductive tract when sperm are not present in an ejaculated sample or cannot be obtained in the usual way. TESA and PESA are examples.

A personalised decision

Who may discuss this service?

  • Obstructive azoospermia
  • Selected non-obstructive sperm-production concerns
  • Previous vasectomy in some circumstances
  • Ejaculation difficulties
  • A coordinated IVF/ICSI treatment plan
The pathway

What the process can involve

01

Specialist assessment

Clarify the likely cause and whether retrieval is appropriate.

02

Coordinate treatment

Plan timing with the embryology and assisted-conception pathway.

03

Perform retrieval

The selected technique is carried out with appropriate anaesthesia and consent.

04

Laboratory use or storage

Retrieved sperm may be assessed for treatment or freezing.

Prepare for consultation

Useful questions to ask

  • Which retrieval method is being recommended?
  • What are the risks and recovery expectations?
  • Will sperm be frozen before the partner’s cycle?
  • What happens if no suitable sperm are retrieved?
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