Surgical Sperm Retrieval (SSR) in
Kuala Lumpur
Surgical Sperm Retrieval (SSR) in Kuala Lumpur
Being told that no sperm is present in a semen analysis can be unexpected and difficult to process. In some cases, however, sperm production may still be occurring within the testicles even when none is detected in the ejaculate.
Surgical Sperm Retrieval (SSR) refers to procedures used to obtain sperm directly from the testicle or epididymis when this situation arises.
If sperm is successfully retrieved, it may be used as part of assisted reproductive treatment, typically in combination with Intracytoplasmic Sperm Injection (ICSI).
The decision to proceed with SSR is made after careful evaluation of hormone levels, imaging, and overall fertility assessment.
When Might Surgical Sperm Retrieval Be Considered?
SSR may be discussed in situations such as:
Azoospermia (absence of sperm in semen analysis)
Obstructive azoospermia
Previous vasectomy
Ejaculatory dysfunction
Severe sperm transport disorders
Every clinical situation is different. A consultation allows time to review your results carefully, explain what they mean, and discuss whether IVF aligns with your reproductive goals and overall health.
A diagnosis of azoospermia does not always mean that sperm cannot be found.
Further evaluation helps determine whether retrieval may be possible and which
technique is most appropriate.
Types of Surgical Sperm Retrieval Procedures
Depending on the underlying diagnosis, different techniques may be recommended:
01 PESA (Percutaneous Epididymal Sperm Aspiration)
Sperm is retrieved from the epididymis using a fine needle.
02 TESA (Testicular Sperm Aspiration)
Sperm is aspirated directly from the testicle.
03 Micro-TESE (Microsurgical Testicular Sperm Extraction)
A microsurgical technique used to locate small areas of sperm production within the testicle.
Your doctor will explain which approach is most suitable based on your clinical findings.
How SSR Is Performed
SSR procedures are typically performed under local or general anaesthesia, depending on the technique used.
During the procedure:
01
A small incision or needle access is made
02
Tissue or fluid containing sperm is collected
03
The sample is examined in the laboratory to identify viable sperm
If sperm is retrieved, it may be used immediately or cryopreserved for future IVF treatment.
Recovery is usually straightforward, and most patients resume normal activities within a few days.
Understanding Expectations
It is important to understand that sperm retrieval is not guaranteed in all cases. The likelihood of retrieval depends on the underlying cause of azoospermia and individual testicular function.
Your doctor will discuss the expected chances of retrieval based on your diagnosis before any procedure is planned.
Having clear expectations allows you to make decisions with confidence and understanding.
How SSR Connects to IVF Treatment
When sperm is retrieved surgically, fertilisation is usually performed using Intracytoplasmic Sperm Injection (ICSI), as the number of available sperm may be limited.
SSR does not replace IVF. Instead, it becomes one part of a coordinated treatment plan.
Frequently Asked Questions
Does SSR guarantee that sperm will be found?
No. Retrieval depends on the underlying cause of azoospermia. The expected likelihood will be discussed during evaluation.
Is SSR painful?
The procedure is performed under appropriate anaesthesia. Mild discomfort or swelling may occur during recovery.
How long is recovery?
Most patients resume normal activities within a few days, depending on the procedure performed.
Can retrieved sperm be frozen?
Yes. Retrieved sperm may be cryopreserved for future IVF cycles.
Is SSR always combined with ICSI?
When sperm is retrieved surgically, ICSI is typically required to achieve fertilisation during IVF.
Discuss Your Options
If you have received a diagnosis of azoospermia or would like to
understand whether surgical retrieval may be possible, we
invite you to speak with our team.
If you have received a diagnosis of azoospermia or would like to understand whether surgical retrieval may be possible, we invite you to speak with our team.
A consultation allows time to review your results, explain what they mean, and
discuss the options available to you.
A consultation allows time to review your results, explain what they mean, and discuss the options available to you.
Important Notice
This information is provided for general educational purposes only and does not replace medical consultation. Treatment suitability varies by individual. A consultation with a registered medical practitioner is required before initiating fertility treatment.