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Using a surgical microscope, the urologist can visualize areas of the epididymis to identify expanded areas of the duct likely to contain sperm.

An incision is made in these sperm ducts, and the sperm is gently extracted. Percutaneous epididymal sperm aspiration PESA is a variant of this approach, using a sterile needle to aspirate suction sperm from the epididymis.

PESA can be performed under local anesthesia, but less sperm is collected using this approach. Also, the site of collection is more random stab the epididymis and hope to find sperm.

Both approaches typically yield enough sperm for use with assisted reproductive methods such as sperm injection and in-vitro fertilization, but not enough for a standard insemination.

For men who produce extremely small numbers of sperm, recovery of sperm from the epididymis may not be successful.

Testicular extraction and possibly tissue removal biopsy may be the best option for collecting sperm suitable for assisted reproductive techniques.

TESE is a surgical procedure performed under anesthesia in an operating room. The outer covering of the testicle is pulled back so that seminiferous tubules containing sperm can be visualized.

An enlarged tubule is gently cut to permit sperm to flow from the tubule, where it can be aspirated using a sterile needle. Sometimes, to collect enough sperm, a piece of testicular tissue may have to be removed biopsied.

In the laboratory, under sterile conditions, the small piece of testicular tissue is carefully pulled apart into tiny fragments in a culture dish.

Sperm released from the opened seminiferous tubules into the culture dish are collected for use in assisted reproductive technology techniques.

Carole Wegner is a Ph. Monitor the health of your community here. More Articles. Diseases and Injuries.

How Is Sperm Collected? A solution will be put into your bladder through the catheter to lower your acid level. This protects any sperm that may pass into your bladder when you ejaculate.

A mild electrical current will be sent through the probe. This is repeated every few seconds and slowly increased until you ejaculate.

Your semen will be collected. This includes the semen from your penis and any that may have passed into your bladder. The semen will be analyzed under a microscope.

This involves collecting the sperm directly from the testes. This will only be done if you consented to it before your procedure.

Your feedback will help us improve the information we provide to patients and caregivers. If you have questions about your care, contact your healthcare provider.

For more resources, visit www. Skip to main content. Back to top Before Your Procedure Ask about your medications You may need to stop taking some of your medications before your procedure.

Instructions for eating and drinking before your surgery. Do not eat anything after midnight the night before your surgery. This includes hard candy and gum.

Between midnight and up until 2 hours before your scheduled arrival time, you may drink a total of 12 ounces of water see figure.

Starting 2 hours before your scheduled arrival time, do not eat or drink anything. This includes water.

You must have JavaScript enabled to use this form. Tell us what you think Tell us what you think Your feedback will help us improve the information we provide to patients and caregivers.

What could we have explained better? Leave this field blank. Last Updated Thursday, March 28,

Sperm collection nurse

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