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The best treatment choice for the man with azoospermia ( zero sperm count) is testicular sperm extraction ( TESE) with ICSI ( intracytoplasmic sperm injection) in which testicular sperm are injected into the eggs in order to fertilise them. Here is a photo-essay which describes the painless technique we use in our clinic for extracting testicular sperm in azoospermic men when they need TESA-ICSI ( testicular sperm aspiration with intracytoplasmic sperm injection.)
This method was developed by our andrologist, Dr Rupin Shah. We call it the " Dr Shah Needle TESA technique." Most men are understandably scared of allowing a surgeon near their testes - and even a testis biopsy can be a very painful experience. This revolutionary technique allows us to extract testicular sperm, even from men with tiny testes, without having to make a skin incision !
Not only is this much easier for the patient, it also much less traumatic, which means it can be repeated if needed. It is usually done under local anesthesia. We can sample multiple areas ( needle mcirobiopsies) of the testes with this method.
If you would like to see a closeup, please click on the thumbnail of the image of interest.