Dear Andrey, Hopefully you have been well evaluated medically and are being followed for this. The authors prefer a degree double beveled straight ophthalmic knife which has the general shape of a 11 scalpel blade but is much finer. The traction suture allows for easy manipulation and maintenance of the epididymis into the window incision. Nearing the conclusion of the obliterative MIESA, a slide is made from the sperm wash media in the test tube which represents the final concentration. Depending on patient factors, cost, and patient and surgeon preference, sperm retrieval in the office may also include general anesthesia, or preferably, monitored anesthesia care MAC also known as conscious sedation or twilight anesthesia. However, the most significant concern is over those few, who experience severe long-term consequences.
Is this a normal thing post surgery?
A step-by-step guide to office-based sperm retrieval for obstructive azoospermia
The experience of performing MESA for OA, particularly when multiple sites are necessary to evaluate before motile sperm are identified, underscores the pitfalls and potential difficulty of PESA where a needle is blindly passed into the epididymis. Two weeks after the procedure I reached almost normal function and felt well. Some sperm granulomas can be painful. Scrotal ultrasound showed minor epididymital cyst and small hydrocele on different sides, but doctor said they are very small and are norm. A lot of serious functionality is acquired during this time that prepares sperm for the real world. Although some are often silent, others can be agonizingly painful. Hemostasis is achieved through bipolar electrocautery, and the incision in the tunica albuginea is closed with the pre-placed suture in running fashion.