The unique aspects of the miesa technique include utilizing a 1 cm keyhole incision in the style of a tese, not delivering the testicle while only the epididymis is exposed within the window incision, and performing it in the office without the need for general anesthesia or an operating microscope. Although always a treatment of choice for male infertility, it was not until the introduction of icsi that ivf became just as successful when applied in cases of male infertility, as for female related causes. Because the amount of sperm retrieved is lower with the smaller needle and less vacuum, these authors prefer the 18-gauge needle on the cameco pistol syringe. Glina and colleagues reported a sperm retrieval rate of 82% in 65/79 patients who underwent pesa, while complications were not reported (. They will be happy to answer any questions you might have regarding sperm retrieval or anything else, and can quickly schedule a consultation for you with an scrc fertility specialist. Injectable fertility drugs are used to stimulate the ovaries to mature a dozen or more eggs for retrieval. Factors predicting successful microsurgical vasectomy reversal.
As with any surgical procedure, patient selection is critical to successful sperm retrieval. Standard open testicular sperm extraction techniques may not find spermatozoa in over half of men. Lupron is a gnrh antagonist, which suppresses the ovary and throws you into a temporary menopause.