{"id":1309,"date":"2024-04-25T11:35:04","date_gmt":"2024-04-25T14:35:04","guid":{"rendered":"https:\/\/origenrio.com.br\/sperm-retrieval\/"},"modified":"2026-07-03T20:52:18","modified_gmt":"2026-07-03T23:52:18","slug":"sperm-retrieval","status":"publish","type":"page","link":"https:\/\/origenrio.com.br\/en\/sperm-retrieval\/","title":{"rendered":"Sperm Retrieval"},"content":{"rendered":"\n    \n        <div class=\"block-title-page\" style=\"background-image: url('https:\/\/origenrio.com.br\/wp-content\/uploads\/2024\/04\/correcao-de-varicocele_02.jpg');\">\n            <div class=\"container\">\n                <div class=\"content-center\">\n                    <h1 class=\"title\">Procedures<\/h1>\n                    <p>UROLOGICAL <\/p>\n                    <span>Sperm retrieval<\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n\n    \n\r\n\r\n\r\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\r\n\r\n\r\n\n    \n        <div class=\"block-text-intro\">\n            <div class=\"container-md\">\n                <h2 class=\"title\">Sperm retrieval<\/h2>\n                <p>Sperm retrieval is a procedure that treats cases of azoospermia, that is, when the semen analysis confirms the absence of sperm in the semen. There are 5 sperm retrieval methods and two distinct causes of azoospermia:<br \/>\r\n<br \/>\r\nObstructive azoospermia is when sperm are produced, but they do not reach ejaculation. The causes may be retrograde ejaculation or the existence of an obstruction in the testicles or epididymides (a small duct located in the reproductive organ where the sperm produced by the testicles are stored), resulting, for example, from an infection. In these cases, the PESA and MESA methods are used to extract sperm from the epididymides and subsequently perform IVF\/ICSI.<br \/>\r\n<br \/>\r\nNon-obstructive azoospermia is a somewhat more delicate case. In this condition, there is no sperm production. The main causes are problems in the production of the hormones testosterone, LH (which activates testosterone production), and FSH (the hormone that initiates sperm production). Treatment involves administering these hormones to the patient, and the TESA, TESE, and micro-TESE methods are used to extract sperm directly from the testicles in different ways.<br \/>\r\n<br \/>\r\nLet\u2019s better understand each of these methods below:<br \/>\r\n<br \/>\r\n<\/p>\n            <\/div>\n        <\/div>\n\n    \n\r\n\r\n\n    \n        <div class=\"block-pros-cons\">\n            <div class=\"container-md\">\n                <div class=\"intro\">\n                    <h3>PESA: Percutaneous Epididymal Sperm Aspiration<\/h3>\n                    <p>In this technique, sperm extraction is performed from the epididymis. Sperm are found in 95% of cases, but if they are not found in the first extraction, the procedure is repeated. PESA must be synchronized with the IVF\/ICSI cycle or performed for cryopreservation.<br \/>\r\n<br \/>\r\nAmong the indications for this type of extraction are patients who have undergone vasectomy or have obstruction of the vas deferens.<br \/>\r\n<\/p>\n                <\/div>\n                <div class=\"pros-cons\">\n                    <div class=\"pros\">\n                        <h4 class=\"title\">ADVANTAGES<\/h4>\n                        <ul>\n                                                            <li>\n                                    <p>Simple procedure, using a micro-needle. There is no incision in the scrotum;<\/p>\n                                <\/li>\n                                                            <li>\n                                    <p>No hospitalization is required. Anesthesia is local and there is no need for an operating room;<\/p>\n                                <\/li>\n                                                            <li>\n                                    <p>Low cost;<\/p>\n                                <\/li>\n                                                            <li>\n                                    <p>Less trauma.<\/p>\n                                <\/li>\n                                                    <\/ul>\n                    <\/div>\n                    <div class=\"cons\">\n                        <h4 class=\"title\">DISADVANTAGES<\/h4>\n                        <ul>\n                                                            <li>\n                                    <p>Extraction is not always possible;<\/p>\n                                <\/li>\n                                                            <li>\n                                    <p>There is a possibility of epididymal injury, which impairs a new PESA attempt on other occasions;<\/p>\n                                <\/li>\n                                                            <li>\n                                    <p>The quantity of sperm extracted is low, sufficient for IVF\/ICSI, but with little chance of cryopreservation.<\/p>\n                                <\/li>\n                                                    <\/ul>\n                    <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n\n    \n\r\n\r\n\r\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\r\n\r\n\r\n<!-- wp:acf\/block-pros-cons {\"id\":\"block_662a6b25d5a48\",\"name\":\"acf\/block-pros-cons\",\"data\":{\"block-pros-cons-title\":\"MESA: Microsurgical Epididymal Sperm Aspiration\",\"_block-pros-cons-title\":\"field_660fef4f9658d\",\"block-pros-cons-text\":\"In this technique, sperm extraction is also performed from the epididymis. But instead of the procedure being performed with a fine needle, a small incision in the scrotal region is necessary so that the epididymis and testicles are exposed.\\r\\n\\r\\nAfter isolation, sperm extraction takes place. With the aid of a surgical microscope, it is possible to collect from one of the epididymal tubules.\\r\\n\\r\\nMESA must also be synchronized with the IVF\/ICSI cycle or performed for cryopreservation.\\r\\n\",\"_block-pros-cons-text\":\"field_660fef709658e\",\"block-pros-cons-pros-title\":\"ADVANTAGES\",\"_block-pros-cons-pros-title\":\"field_660fef809658f\",\"block-pros-cons-pros-cards_0_block-pros-cons-pros-cards-title\":\"There","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-1309","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6.1 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Sperm Retrieval - OrigenRio<\/title>\n<meta name=\"description\" content=\"Sperm retrieval (PESA, MESA, TESA, TESE, and Micro-TESE) is used to effectively treat azoospermia. 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