When there is absolutely zero sperm in the ejaculate (Azoospermia), or a severe blockage prevents delivery, we bypass the plumbing entirely. Using minimally invasive surgical techniques, we extract healthy sperm directly from the source.
We utilize three primary levels of surgical extraction in Lahore, ranging from a simple needle aspiration to highly advanced microscopic surgery. All are performed safely under local anesthesia or light sedation with rapid recovery.
Percutaneous Epididymal Sperm Aspiration
Strictly for Obstructive Azoospermia. This means the testicles are producing plenty of sperm, but there is a physical blockage (like absent vas deferens or a previous vasectomy) preventing it from exiting.
A tiny butterfly needle is gently inserted through the scrotal skin directly into the epididymis (the tube where sperm is stored). The sperm fluid is suctioned out. It is virtually painless and takes less than 10 minutes.
Testicular Sperm Aspiration
Often used if PESA fails, or if there is suspected mild Non-Obstructive Azoospermia where the factory itself is struggling to produce mature sperm.
Instead of taking fluid from the storage tube, the needle goes directly into the testicular tissue itself, pulling out tiny cylinders of tissue that the embryologist will tease apart in the lab to find living sperm.
Microdissection Testicular Sperm Extraction
For severe Non-Obstructive Azoospermia or genetic conditions like Klinefelter's Syndrome. This is the ultimate, last-line defense to find biological sperm.
Under general anesthesia, the testicle is opened. Using a high-powered operating microscope, Dr. Adnan Jabbar visually hunts for specific, swollen tubules that look most likely to contain isolated "islands" of sperm production.
Sperm retrieved surgically is immature and very low in quantity. It has not passed through the necessary bodily channels to learn how to swim or naturally penetrate an egg.
Therefore, surgically retrieved sperm cannot be used for IUI or natural conception. It must be paired with ICSI (Intracytoplasmic Sperm Injection), where the embryologist manually injects one living sperm directly into the center of the egg.