For men who have no sperm in their ejaculate (also known as azoospermia), one option for the retrieval of sperm is testicular sperm extraction (TESE).
There have been a number of microsurgical advances in this technique to optimize the likelihood of finding sperm at the time of the procedure. We have developed a robotic microsurgical technique for TESE that may potentially further improve these outcomes.
Doppler Duplex Testicular Mapping
Previous studies have shown that in men who are azoospermic (no sperm in ejaculate) there may be areas of the testicle with better blood flow that harbor sperm that could be used in combination with assisted reproductive rechniques (In-vitro fertilization – IVF) to achieve a pregnancy. Our center currently offers a study evaluating the use of a novel Doppler Duplex flow mapping device that allows us to map the testicular blood flow and possibly predict areas that may harbor sperm for extraction.