Trans epididymal sperm aspiration

If you plan to undergo in-vitro fertilization IVF or intra-cytoplasmic sperm injection ICSI , you will need to first undergo a sperm retrieval procedure. Karen Boyle has years of experience performing these procedures. She combines her skill and experience with a compassionate approach. Boyle will work with you every step of the way and answer any questions you may have.
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A step-by-step guide to office-based sperm retrieval for obstructive azoospermia

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Sperm Retrieval | TESA | PESA | Microdissection TESE | Washington, D.C. | Dr. Karen Boyle

To study the efficacy of percutaneous epididymal sperm aspiration PESA in combination with short time insemination to treat infertile men with obstructive azoospermia OA. Motile spermatozoa were collected using PESA. Half of the oocytes were used for intracytoplasmic sperm injection ICSI. Rates of oocyte maturation, fertilization, cleavage, and good quality embryos. In the short time insemination group, cumulus cells were dispersed by PESA spermatozoa.
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Sperm Retrieval

A variety of surgical options exists for sperm retrieval in the setting of obstructive azoospermia OA. With appropriate preparation, the majority of these techniques can safely be performed in the office with local anesthesia and with or without monitored anesthesia care MAC. In addition to providing a step-by-step description of each available approach, we introduce and describe a new technique for sperm retrieval for OA called minimally invasive epididymal sperm aspiration MIESA. The MIESA utilizes a tiny keyhole incision, and the epididymis is exposed without testicular delivery.
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Various procedures for sperm recovery in azoospermic men have been described, from open testicular biopsy to simple needle aspiration from the epididymis and the testis. All patients were karyotyped. In 22 out of 86 patients with non-obstructive azoospermia, testicular spermatozoa could be successfully recovered by TESA. Sixteen patients chose not to proceed with TESE.
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