Surgical Sperm Retrieval In Gurgaon

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What is Surgical Sperm Retrieval

Surgical Sperm Retrieval (SSR) refers to a high-tech fertility treatment for men that lack sperm in their ejaculation ( azospermia ) or when sperm could not be soldered because of the inability to obtain sperm because of unsuccessful ejaculation. In SCI IVF Hospital Gurgaon, our team of specialists uses a microsurgical method to retrieve the sperm cells either directly out of epididymis or directly out of the testicular tissue. These sperms can be retrieved and then subjected to ICSI (Intracytoplasmic Sperm Injection), which is giving hope to couples that have experienced frequent infertility issues. 


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Reasons Why SSR Is Done?

Surgical Sperm Retrieval in Gurgaon, is done under following condition:-

  • In the case of obstruction azoospermia (blocked sperm pathway)
  • In the absence of an obstruction (poor or absent sperm production)
  • In cases where ejaculation cannot occur either medically or anatomically
  • To empower biological parenthood (by assisted reproductive technologies e.g. IVF/ICSI) 
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What is The Cost Of Surgical Sperm Retrieval In Gurgaon?

Surgical Sperm Retrieval in India is roughly estimated to be about Rs 25,000- Rs 80,000, depending on the methods adopted, facility, anesthesia fee, diagnostics cost, and laboratory fees.

 Cost Comparison Table

SSR Technique

Approximate Cost (INR)

PESA / TESA (least invasive)

₹25,000 – ₹50,000

MESA / TESE

₹50,000 – ₹80,000

(Micro‑)TESE (microsurgical, advanced)

₹60,000 – ₹80,000

Actual pricing depends on services used, hospital infrastructure, and patient needs.

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Types of Surgical Sperm Retrieval Techniques

  • Percutaneous Epididymal Sperm Aspiration (PESA):aspirates of sperm from needle epididymis; The minimum invasive and usually done under local anesthesia. 
  • Testicular Sperm Aspiration (TESA):Uses a fine needle to extract sperm directly from the testis; Suitable for both obstructive and non -operative cases. 
  • Microsurgical Epididymal Sperm Aspiration (MESA): Epididymis is conceived under a surgical microscope to recover sperm with high precision. 
  • Testicular Sperm Extraction (TESE): A small surgical biopsy of testicular tissue is taken to recover sperm; Demonstrated under local or general anesthesia. 
  • Micro‑TESE: Microscopic guidance to selectively remove sperm-rich seminiferous ducts-especially effective for non-obstructive azoospermia. 
Types of Surgical Sperm Retrieval Techniques

Advantages of the Surgical Sperm Retrieval (SSR)

  • Permits utilization of your sperm

Although this may not allow extraction of sperms in certain situations due to lack of sperm in the ejaculate, SSR is able to obtain sperm through the testicles or the epididymis. This allows the couples to conceive through genetically related sperm of the male partner.

  • When normal ejaculation is not possible

Surgical Sperm Retrieval In Gurgaon is a hope to men with low sperm conditions such as obstructive or non-obstructive azoospermia, spinal cord diseases, or vasectomy reversal failure-where sperm may be produced but not released naturally.

  • Future flexibility seems to be right

The retrieved sperm may be frozen (cryopreserved) to be used in the future attempts at IVF, or used immediately in procedures such as Intracytoplasmic Sperm Injection (ICSI). This particularly will be handy to men who use cancer treatment or surgery that can affect fertility.

  • Minimally invasive alternatives exist

Less invasive procedures, such as PESA or TESA, may be used to obtain viable sperm and, depending on cause and condition, it may not need any major surgery or downtime and discomfort.

Risks and Cautions

Post-procedure discomfort

It is normal to have some inflammation, bruises or few pains around the scrotums following the procedure. Ordinary care is enough to relieve these symptoms within several days.

Bleeding or infection

There is a slight possibility of infection or bleeds as is the case when it comes to performing any surgery. These normally can be easily treated under the antibiotics and care.

Effect on testes tissue

There are potential (but rare) effects in procedures which involve the removal of tissue (such as TESE or micro-TESE) resulting in an effect on testosterone production, or loss of longer term testicular functioning. Experienced specialists pay special attention to this and minimize this.

Scarring or less effective repeat surgeries

It is also possible that when repeated retrieval of sperm is tried, due to its repeated nature scars are formed hence, future retrieval may be more difficult. But this is not the case when there is experienced surgical planning and execution.

Preoperative Diagnosis With Surgical Sperm Retrieval

Before SSR, we do:

  • A description/sample of semen specimen to prove azoospermia
  • FSH, LH, testosterone Elimination Profiling (creatinine, para amino hippurate)
  • Genetic screening as is necessary
  • Ultrasound to evaluate the structure of the testicles (scrotal ultrasound)
  • Examples of screening include: infectious diseases (e.g., HIV, Hepatitis) 

Recovery Of Surgical Sperms Retrieval

  • Recommended short rest interval (1- 2 days)
  • It is usual to have minor swelling or pain
  • Majority of the patients will recover to a normal routine within seven days
  • Recommended to watch out on developing any redness, fever, or any strange symptoms and report as soon as possible 

Here is how SSR Works? (Procedure Overview)

  • An SSR method chosen depending on a diagnosis
  • Anesthesia is given (local or general)
  • Make retrieval (with selected method (PESA, TESE, and so forth))
  • Seek sample to freeze or use at the lab immediately
  • To increase the chances of conceiving, retrieved sperm is used with the help of an ICSI/IVF cycle 

Why Choose SCI IVF Hospital in Gurgaon?

  • Case managed by an expert Dr. Shivani Sachdev Gour 
  • Her multidisciplinary team for infertility and SSR 
  • High-precision, state-of-the-art microsurgical infrastructure and labs
  • Individual treatment programs and emotional support and open prices
  • More than 20 years of working experience, 10 000+ healthy babies, and more than thousands of happy families all over the world 

FAQs on Surgical Sperm Retrieval

Operations are done under anesthesia; it causes a very little pain during recuperation.

To 90-100 percent with obstructive, and to about 30-50 percent in non-obstructive azoospermia using Micro-TESE.

The sperm is retrieved instantly and the sperm may either be used fresh in ICSI or they might be frozen in a liquid medium.

Low-reason risk; post-recovery should be considered in case of repeating trials.

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