407-500-DOCS (3627) office@docsaco.com

Evaluating Men For Fertility Preservation

Evaluating Men For Fertility Preservation

SPERM HARVESTING: AT UROLOGY CONSULTANTS 

we engage in a diligent approach of collaboration with the Infertility team so the retrieval, preservation and prompt recovery of the donor sperm and male partner, goes seamlessly. 

We understand and appreciate the cost considerations to the male sperm retrieval and have established relationships with outpatient surgical centers, anesthesiologists and our own office team to keep the cost to a minimum and at the same time offer top notch quality services.

 We believe in improving fertility rates for our race and country so generations to come can carry the task that our forefathers did for us in America. So please, do not confuse our reasonable and fair prices with a lesser quality of outcome and results. You results will be almost perfect from a technical point of view and we are “in your corner” to see your child come to this earth. Many factors play a role in infertility success rates, we keep the sperm harvesting at a minimal risk and strive for successful part of this equation.

Percutaneous Epididymal Sperm Aspiration (PESA)

PESA is a procedure performed for men who are having sperm retrieved for in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) who have obstructive azoospermia from either a prior vasectomy or infection. It is done with local anesthesia in the operating room or office and is coordinated with their female partner’s egg retrieval.

Testicular sperm extraction (TESE)/Testis biopsy/Testis mapping

TESE/testis biopsy/testis mapping are procedures performed for men who have testis failure. The procedure is performed to see if there are sperm present as well as for pathologic diagnosis to evaluate for malignancy. It is either done as a scheduled procedure or is coordinated with their female partner’s egg retrieval. TESE is usually performed in the operating room with sedation, but can be performed in the office with local anesthesia alone.. Patients usually cryopreserve sperm during this procedure for future IVF/ICSI. This diagnostic biopsy is usually performed to evaluate for an obstructive etiology – microdissection TESE has replaced this as the optimal form of retrieval for testis failure patients.

Post-Operative Instructions

Please review the instructions below to assist in your recovery from your scrotal surgery – these are general guidelines

  •  Place an ice pack (a bag of frozen peas works well) inside underwear on top of gauze dressing – change every few hours until bedtime the day of the procedure. Personally,
    I am not too fond of scrotal supports, the straps are tight on the groin to the point of creating abrasions on the skind surface, unlike as its name implies, they provide
    little support to the testes. I prefer a tight pair of jockey shorts, they are much more comfortable and they will hold the gauze in place.
  •  Keep the gauze and fluff dressing in place for one day.
  • Relax and rest for one to two days following your procedure. Avoid excessive walking, sitting for prolonged periods of time, and unnecessary exertion. You will recover quicker and easier if you take it easy for these days immediately post-op.
  • Avoid exercise (no running, heavy lifting, straining, etc.) for one to two weeks. Avoid straddle activities like cycling, horseback riding for at least two weeks.
  • It is expected to have a small amount of blood stain the gauze dressing. Sometimes the incision has a special type of “glue” used in plastic surgery procedures (Dermabond®) its not unusual to find remnants of this glue around the incision. The purpose of the glue is to minimize the number of sutures placed on the skin and create a barrier and prevent bacteria and sweat from entering the incision. This is important during the first 72 hours. The glue peels off by itself with showering and time.
  •  You may take the narcotic medication as prescribed for discomfort or you may take over-the-counter Tylenol as directed. Do not take any aspirin products for two weeks following the procedure.
  •  You may shower tomorrow– pat your scrotum dry, do not rub. Do not take a bath or go swimming for two weeks.
  •  The incisions were closed with an absorbent suture. This suture dissolves on its own and does not need to be removed
  •  Abstain from intercourse for at least one week or until discomfort resolves, whichever is longer.

MALE INFERTILITY AND SPERM HARVESTING.

Sperm and testosterone production are the two main functions of the testes, they both go and on hand in order for fertility to take place. Although it’s rare for a man during reproductive age to have abnormalities of testosterone or testicular production of sperm, they occur from time to time.

INFERTILITY

 Approximately 15% of all couples are infertile. Up to fifty percent of these infertile couples will have a male factor component and 30% of couples will not be able to conceive solely because of a male factor.

AZOOSPERMIA

which means zero sperm is one of the abnormalities we encounter from time to time and the role of the Urologist is to determine if there is a congenital absence of the ductal system (e.g. vas deferens) or any other portion thereof that could be present bilaterally. If the problem is only in one side it could go unnoticed since fertility is usually not affected.

DUCTAL OBSTRUCTION

This is not an uncommon problem. We usually see it on patients who had a vasectomy in the past, their marital status changes and they remarry or wish to father another child, an attempt for reversal of the vasectomy (vaso- vasostomy) fails and the next option is to retrieve the sperm from the epididymis or the testes itself. A team approach with the Embryologist, usually a Phd in infertility who works very closely with the Infertility Gynecologist is essential for this retrieval to be successful. Sperm retrieval now days can take place at any time and extemporaneous as to when the female partner is ovulating , since the sperm is nourished, prepared and retrieved for placement at the ideal time.

SPERM HARVESTING: AT UROLOGY CONSULTANTS

we engage in a diligent approach of collaboration with the Infertility team so the retrieval, preservation and prompt recovery of the donor sperm and male partner, goes seamlessly. We understand and appreciate the cost considerations to the male sperm retrieval and have established relationships with outpatient surgical centers, anesthesiologists and our own office team to keep the cost to a minimum and at the same time offer top notch quality services. We believe in improving fertility rates for our race and country so generations to come can carry the task that our forefathers did for us in America. So please, do not confuse our reasonable and fair prices with a lesser quality of outcome and results. You results will be almost perfect from a technical point of view and we are “in your corner” to see your child come to this earth. Many factors play a role in infertility success rates, we keep the sperm harvesting at a minimal risk and strive for successful part of this equation.

THERE ARE SEVERAL TYPES OF PROCEDURES FOR HARVESTING SPERM

Sperm Retrieval Procedures

  • TESA/TESE/Micro TESE/MESA/PESA
    Explanation of Procedures

There are a variety of different procedures available to retrievesperm for planned I VF/ICSI.

Testicular sperm aspiration (TESA)

Testicular sperm aspiration (TESA) is a procedure performed for men who are having sperm retrieved for in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI). It is done with local anesthesia in the operating room or office and is coordinated with their female partner’s egg retrieval. A needle is inserted in the testicle and tissue/sperm are
aspirated. TESA is performed for men with obstructive azoospermia (s/p vasectomy). Often TESA doesn’t provide enough tissue/sperm and an open testis biopsy is needed.

Microepididymal Sperm Aspiration (MESA) 

MESA is a procedure performed for men who have vasal or epididymal obstruction (s/p vasectomy, cystic fibrosis). It is either done as a scheduled procedure or is coordinated with their female partner’s egg retrieval. MESA is performed in the operating room with general anesthesia under the operating microscope. Patients usually cryopreserve sperm during this procedure for future IVF/ICSI.

Microdissection TESE (microdissection testicular sperm extraction) 

Microscopic TESE is a procedure performed for men who have testis failure. Microdissection TESE is performed in the operating room with general anesthesia under the operating microscope. Patients cryopreserve sperm during this procedure for future IVF/ICSI.

SPERM HARVESTING FOR FERTILITY PURPOSES Prices as of January 1, 2020

We only work with Infertility specialist Dr. Milton McNichol and his team to facilitate pregnancy.
What is it?
The procedure for sperm retrieval via SURGERY at a surgery center.
Who sends the patient?
The infertility Gyn doctor—-taking care of the spouse/partner.
Who is the patient?
Usually husband who had a vasectomy, reversal of a vasectomy (vaso-vasostomy) that failed or duct obstruction.

Which insurance covers it?
NONE, even if the patient thinks they do, we do not check for coverage and only get prepaid for these services.

 

ADDRESS

515 W State Rd 434,

Suite 302 Longwood, FL 32750

483 N Semoran Blvd, 

Suite 210 Winter Park, FL 32792

E-MAIL

office@docsaco.com

PHONE NUMBER

407-500-DOCS (3627)

 

ADDRESS

515 W State Rd 434,

Suite 302 Longwood, FL 32750

483 N Semoran Blvd,

Suite 210 Winter Park, FL 32792

E-MAIL

office@docsaco.com

PHONE NUMBER

407-500-DOCS (3627)