Male Infertility Services
It is widely recognized that approximately 5% of men who choose to have vasectomies later choose to reverse that procedure. Over the past 20 years, the surgical technique of vasectomy reversal has provided excellent results, permitting a man to re-establish his fertility. The surgery is performed on an outpatient basis with a high likelihood of success for those men who have sperm at the time of surgery.
Sperm is not always present in the ejaculate (azoospermia). Because of innovations in minimally invasive techniques, we can now obtain sperm from men with vasectomy; failed vasectomy reversal, absence of the vas deferens, or uncorrectable blockages anywhere along the seminal tract (obstructive azoospermia). We are also able to retrieve and use sperm when sperm production is so low that there is not enough to make it to the achieve fertilization through intercourse. There are a number of different sperm retrieval procedures. These procedures are either performed through the skin (percutaneous) or through a small opening in the skin about 1/2 inches in size. Our physician will discuss the potential issues and benefits surrounding each procedure to help you determine the optimal choice for you to meet your goals. Our physicians perform the services detailed below at a number of facilities in the western suburbs.
Percutaneous epididymal sperm aspiration (PESA). Our physician will use a needle to penetrate the scrotal skin and draw a small amount of sperm from the epididymis a sperm rich tube at the back of the testis.
Microscopic epididymal sperm aspiration (MESA). Using microsurgical techniques, our physician gather sperm from the epididymis using micrurgical techniques.
Testicular sperm extraction (TESE). Our physician will remove small samples of testis tissue for processing and eventual extraction of sperm.
Microscopic TESE (MicroTESE). Where indicated, our physician will perform, a very exacting search for sperm under high magnification in cases of extremely low sperm production.