Surgical Sperm Retrieval

Advanced Solutions for Male Infertility

At Bangkok Central Clinic, we offer advanced surgical sperm retrieval techniques to support men facing infertility challenges. These procedures are commonly recommended for cases of azoospermia (absence of sperm in semen) and are typically used in combination with IVF or ICSI treatments.

Our specialists ensure safe, precise procedures with maximum comfort and care.

Available Procedures

TESE (Testicular Sperm Extraction)

A minor surgical procedure where sperm is directly retrieved from the testicular tissue. This method is often recommended when sperm production is very low or absent.

PESA (Percutaneous Epididymal Sperm Aspiration)

A minimally invasive technique where sperm is collected from the epididymis using a fine needle. It is commonly used in cases where sperm production is normal but blocked from being released.

These procedures are commonly recommended for men with azoospermia—a condition where no sperm is present in the ejaculate—and are used in conjunction with IVF or ICSI fertility treatments.

Difference

TESE vs PESA: Key Differences

Procedure Type:

  • PESA: Needle aspiration (minimally invasive)

  • TESE: Small surgical biopsy

Sperm Retrieval Area:

  • PESA: Epididymis (sperm storage area)

  • TESE: Testicle (sperm production site)

Anesthesia:

  • PESA: Local anesthesia

  • TESE: Local or general anesthesia

Invasiveness:

  • PESA: Minimally invasive
  • TESE: More invasive

Use of Retrieved Sperm:

  • Both methods: Used for ICSI or can be frozen for future use

Procedure Duration:

  • PESA: 15–30 minutes

  • TESE: 30–60 minutes

Best Suited For:

  • PESA: Obstructive azoospermia (blockages, vasectomy cases)

  • TESE: Non-obstructive azoospermia (low or no sperm production)

Recovery Time:

  • PESA: 1–2 days (minimal discomfort)

  • TESE: 2–3 days (slightly more recovery time)

Success Rate:

  • PESA: High (when obstruction is cause)
  • TESE: Variable (depends on sperm production capacity)

All procedures are performed by fertility specialists in a sterile, supportive environment with your safety and comfort as top priorities.

Common Queries

Frequently Asked Questions

What is azoospermia?

Azoospermia is a condition where no sperm is found in the ejaculate. It can be caused by physical blockages or by problems in sperm production.

How do I know if I need TESE or PESA?

A thorough consultation with your fertility doctor, including hormone tests and ultrasound, will determine the most suitable approach based on your specific condition.

Are these procedures painful?

PESA is quick and typically involves very little discomfort. TESE may result in some swelling or tenderness, but pain is generally mild and temporary.

How soon can I return to normal activities?

Most patients return to normal activities within 1–3 days. Avoid strenuous exercise or sexual activity for a short period, as advised by your doctor.

Can the sperm be frozen for future use?

Yes. At Bangkok Central Clinic, retrieved sperm can be frozen and stored securely for future IVF or ICSI procedures.

Does this guarantee I’ll have viable sperm?

While success rates are high, especially with obstructive azoospermia, sperm retrieval isn’t always guaranteed. Your doctor will explain your specific chances after diagnosis.

Supporting Your Fertility Journey

Choosing the right sperm retrieval technique can significantly improve your chances of success with IVF or ICSI. At Bangkok Central Clinic, we combine expertise, advanced technology, and compassionate care to support you at every step.

Contact us via WhatsApp: +66953641949, Or Call Us: +662-252-3421.

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