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Vejthani Hospital offers surgical sperm retrieval in Bangkok

Understanding Surgical Sperm Retrieval

Surgical sperm retrieval is used to obtain sperm from men who have either no sperm in their ejaculate (a condition known as azoospermia) or have other obstructions or sperm production issues that prevent the natural release of sperm. These procedures are commonly used in conjunction with assisted reproductive technologies, particularly ICSI.


The Process

To ensure a successful sperm retrieval, specific methods are meticulously followed. First, the testicles and surrounding area are thoroughly cleaned using sterile techniques to minimize the risk of infection. Next, local anesthesia is administered to numb the area, ensuring the patient’s comfort during the procedure. For some cases, additional anesthesia may be provided intravenously for a more relaxed experience. Finally, the exact procedure for sperm retrieval is carried out, tailored to the patient’s specific condition. This step-by-step approach ensures both the safety and effectiveness of the sperm retrieval process.

Let’s explore the types of procedures available:

  • PESA (Percutaneous Epididymal Sperm Aspiration): This is a minimally invasive procedure where sperm is extracted directly from the epididymis (a tube at the back of the testicles that stores and carries sperm) using a fine needle. PESA is typically used when there is a blockage preventing sperm from being ejaculated (obstructive azoospermia).
  • TESA (Testicular Sperm Aspiration): For the TESA sperm retrieval procedure, a needle is used to extract sperm directly from the testicle. TESA is often used when the sperm count is very low or when sperm are not present in the ejaculate due to a blockage or other reasons.
  • TESE (Testicular Sperm Extraction): TESE is similar to TESA, but it involves a small incision in the testes to obtain a tissue sample directly from the testicular tissue. This method is used particularly in cases of non-obstructive azoospermia, where sperm production is low but still present in the testicles.
  • MESA (Microsurgical Epididymal Sperm Aspiration): MESA is a more complex and delicate procedure compared to PESA. The MESA sperm retrieval procedure involves the use of a surgical microscope to extract sperm from the epididymis. MESA is usually chosen when there’s a need for a larger quantity of sperm, especially in cases of obstructive azoospermia.


Procedure Timing

Sperm retrieval for IVF is typically an outpatient procedure, meaning you can go home the same day. It’s often scheduled to coincide with your partner’s egg retrieval day, ensuring the freshest possible sperm for fertilization. However, there’s also the option to freeze the retrieved sperm for future use, offering flexibility for your fertility plan.

The specific method of sperm retrieval depends on your individual circumstances, particularly any underlying fertility issues. For instance, if there are blockages in the scrotum preventing sperm from being ejaculated naturally, a procedure like PESA or MESA may be used to extract sperm directly from the epididymis. Your doctor will assess your situation to determine the best method, ensuring that the most viable sperm are collected for the IVF process.



Undergoing surgical sperm collection is generally a safe procedure with a low risk of complications. However, as with any medical intervention, there are potential risks to be aware of. These include:

  • Reactions to anesthesia
  • Possible fever and chills
  • Risk of infection at the surgical site
  • Bleeding where the surgery was performed
  • Formation of papules in the scrotum
  • Discomfort or pain around the surgical wounds and testicles
  • Potential injury to the testes
  • The possibility of the testicles shrinking or losing functionality

At our VFC Center, our compassionate and skilled medical team is committed to ensuring that you are fully informed about these risks. Your doctor will have a detailed discussion with you about the risks involved and the likelihood of success, helping you make an informed decision that aligns with your personal health and family goals.


Why Choose Vejthani Hospital?

Vejthani Hospital in Bangkok, Thailand offers PESA, TESE, and MESA sperm retrieval techniques at our VFC Center. If you are having trouble conceiving, make an appointment for a consultation at VFC Center to discuss your issues with a doctor specializing in obstetrics and gynecology-reproductive medicine.

Choosing VFC Center for surgical sperm retrieval means entrusting your journey to a world-class facility renowned for its expertise and compassionate care. All procedures are skillfully performed by our team of specialists in obstetrics, gynecology, and reproductive medicine, who are dedicated to helping couples overcome challenges in conceiving.

Vejthani Hospital is not just a local leader but also a globally recognized institution, boasting accreditation from the Joint Commission International (JCI). This distinction underscores our commitment to maintaining the highest standards in healthcare. Our international accreditation is a testament to the trust we have earned from patients both locally and from around the world.

When you choose VFC Center, you’re gaining access to a supportive environment where every patient’s unique needs are understood and addressed. Our specialists take the time to understand your specific situation, providing personalized care and a comprehensive treatment plan tailored to your fertility needs.

We encourage anyone facing difficulties with conception to schedule a consultation at VFC Center. Here, you will find a caring and empathetic team dedicated to assisting you in your journey towards parenthood.