Fertility Service

Surgical Sperm Collection

Surgical sperm collection retrieves sperm directly from the epididymis or testicle when it cannot be found in the ejaculate. At Oasis, your specialist will recommend the most suitable approach based on the underlying cause and guide you through the process.

What is Surgical Sperm Collection?

Surgical sperm collection is a procedure used to retrieve sperm directly from the epididymis or testicle when sperm cannot be found in the ejaculate. The technique used depends on the underlying cause and may range from a simple aspiration to more extensive sampling of the testicle.

Sperm harvesting is entirely different from a diagnostic testicular biopsy because, in this setting, the goal is not to identify what is happening in the testis but instead it is to find sperm. This may involve a simple aspiration for men who have a blockage or require much more extensive sampling of the testis for men who have a sperm production problem.

Very few tests allow for an accurate prediction of whether or not sperm will be found in the testes of men with testicular problems. Typically genetic testing, hormonal studies and testicular ultrasound are performed before planning surgical sperm collection.

Surgical sperm collection provides a way to retrieve sperm directly when it cannot be found in the semen.

The Timing of Sperm Retrieval

In many cases, sperm can be collected in advance and frozen for future use. This can help provide clarity before starting an IVF cycle, particularly as sperm retrieval is not always successful. Having sperm available ahead of time allows you to make informed decisions about your treatment pathway.

Surgical Sperm Collection Journey: Step by Step

Step 1

Initial assessment

Genetic testing, hormonal studies and testicular ultrasound are typically performed before planning surgical sperm collection.

Step 2

Choosing the retrieval technique

Your specialist will recommend the most suitable technique based on the underlying cause, ranging from a simple aspiration to more extensive sampling of the testicle.

Step 3

Sperm retrieval

Sperm is collected from the epididymis or testicle. This may involve a simple aspiration for men with a blockage or more extensive sampling for men with a sperm production problem.

Step 4

Sperm storage

In many cases, sperm can be collected in advance and frozen for future use. Having sperm available ahead of time can provide clarity before starting an IVF cycle.

Sperm Retrieval Techniques

There are several techniques used to retrieve sperm, depending on the underlying cause:

What are the risks of Surgical Sperm Collection?

Surgical sperm collection is generally safe, but as with any procedure, there are some risks to be aware of:

These risks are uncommon, and your care team will discuss them with you and take steps to minimise them.

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