There have been many cases of men suffering from mumps, infections, accidents, genetics… making the testicles almost completely deprived of the ability to produce sperm. However, there may still be some small seminiferous tubules that produce sperm, which are located deep within the testes.
In such cases, the patient is still having sex, still ejaculating but there is no sperm in the semen. Sperm are located in the testes, along with the seminiferous tubules. We had to do the procedure of “opening” the testicles, looking under the microscope to find the seminiferous tubules to “catch any sperm”. The method is called the Microtese method.
This is a savior for someone who has no sperm; is a golden opportunity to help them have children. In fact, the percentage of sperm found using the Microtese method is around 30-60%, depending on the case.
The rest are completely without sperm, maybe because the damage is too severe, or maybe because the surgeon’s level is not so high that they can’t be found, and many other problems.
The group of patients who ejaculated without sperm accounted for about 20% of the male infertility group. In that group of 20%, about half, or about 60%, of the cases were testicular azoospermia. Such a group can generally use the Microtese method to help “reproductive warriors” – with only a few unusual contraindications, the rest can be done.
Medically speaking, these people are those who do not have sperm because of the impaired ability to produce sperm in the testes, not because of a blockage. As for the blockage due to the vas deferens, do something else.
The main instrument for Microtese’s “sperm capture” method is the surgical microscope, and most importantly, the skill of the surgeon. With people with experience, skill and enthusiasm, they can “catch” sperm in places that no one seems to be able to find and “catch”.
Sometimes, doctors have to look very carefully, very carefully to only “catch” a few “kid” sperm. But this method does bring a lot of joy, rekindling hopes of fathering a barren man who wants children.