1. RMALI
  2. Services
  3. Male Fertility
  4. Testicular Sperm Aspiration/Extraction (MESA & TESE)

Testicular Sperm Aspiration/Extraction (TESA/E)

TESA/E involves the direct removal of sperm from the testicles which can then be used in conjunction with Intracytoplasmic sperm injection (ICSI) to form an embryo. There are two types of TESA/E depending on the indications for the procedure. If there are any sperm leftover from the procedure, the patient will be given the option to sign a cryogenic freezing consent which will allow him to freeze his sperm for future use.

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Obstructive Azoospermia – Percutaneous testicular sperm retrieval:

Performed under general anesthesia, percutaneous testicular sperm retrieval uses a biopsy needle to extract a very small amount of testicular tissue. The tissue is scanned by an embryologist to locate sperm which can then be used in ICSI to fertilize a partner’s egg. The wound is closed using absorbable stitches.

Nonobstructive Azoospermia – Microscopic testicular sperm retrieval:

In conditions such as testicular atrophy, Y deletions, Kleinfelter’s, or even post-chemotherapy/radiation, the testes do not produce adequate amounts of sperm. Using a microscope, a search is performed for testicular tubules that appear more developed and contain mature sperm. This procedure offers the most severe cases of male infertility the best chance of identifying sperm and proceeding with ICSI.

RMA of New York Team

  • Risa Abittan, MS, CGC

    Risa Abittan, MS, CGC

    Genetic Counselor

  • Beth McAvey, MD

    Beth McAvey, MD

    Reproductive Endocrinologist

  • Joseph Peña, MD

    Joseph Peña, MD

    Reproductive Endocrinologist

  • Michelle Goldsammler, MD

    Michelle Goldsammler, MD

    Reproductive Endocrinologist

  • Cary L. Dicken, MD

    Cary L. Dicken, MD

    Reproductive Endocrinologist

  • Michael Zinger, MD

    Michael Zinger, MD

    Reproductive Endocrinologist

  • Daniel Kenigsberg, MD

    Daniel Kenigsberg, MD

    Reproductive Endocrinologist

  • Steven Brenner, MD

    Steven Brenner, MD

    Reproductive Endocrinologist

  • Joanne Libraro, MSN, RN-C, NEA-BC

    Joanne Libraro, MSN, RN-C, NEA-BC

    Chief Operating Officer

01/09
Meet the Team

Why RMA of New York: Testicular Sperm Aspiration

RMA of New York serves as the Division of Reproductive Endocrinology and Infertility at Mount Sinai Medical System. Our laboratory team is dedicated to scientific discovery, graduate medical education through RMA of NY’s REI Fellowship Program, and individualized care that focuses on you.

Our team of embryologists are consistently recognized as innovators in reproductive science and medicine, and security and safety standards. RMA of New York has been at the forefront of embryo freezing technology and cutting-edge research, helping countless individuals and partners achieve the dream of building a family.

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Patient-centric reproductive medicine is our specialty, and we look forward to answering any questions you may have.

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