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Surgical Sperm Retrieval (SSR) refers to the use of suction needle at the beginning of the sperm duct or testis which may cause a small wound opening or a microscopic joint. This is indicated for men with infertility problem with no sperm ejaculated caused by the following:

  1. Obstructive Azoospermia
  2. Non – Obstuctive Azoospermia

Treatment steps

  1. Clean the testicles and the surrounding area with a sterile techniques.
  2. Provide local anesthesia and / or in combination with anesthesia level through the blood vessels.
  3. Follow the specific steps of each of the following methods:
  • PESA (Percutaneous Epididymal Sperm Aspiration) is a procedure that uses small needles to suck at the epididymis in order to bring the sperm out.
  • TESE (Testicular Sperm Extraction) is a procedure that opens a small incision in the scrotum area and leads to the testes membrane to extract the semen and / or send a pathological examination and / or freeze for future use.
  • MESA (Microsurgical Epididymal Sperm Aspiration) is a procedure performed by a small incision in the scrotum area and a microscope helps to suction a small amount of the epididymis to bring the sperm out.
  • TESA (Testicular Sperm Aspiration) is a procedure that uses suction needle at the testicle area. It collects the testicular tissue to extract the sperm and / or to send for pathological examination and / or freezing for future use.

Success rate

The success rate depends on the cause of the absence of sperm, but an average of about 20%.


The risk of sperm collection by surgery at various stages or complications even if there is little chance of occurring are as follows:

  1. The risk of using anesthesia
  2. fever, chills
  3. Surgical infection
  4. Bleeding at the surgical wound
  5. Papules in the scrotum
  6. Pain on the surgical wounds and testes
  7. Injuries to the testes
  8. Testicles may dry up
  9. Decrease in size or loss of function