Dr. Mauro Bibancos

Surgeries

It is estimated that 40% percent of infertility cases have to do with men’s reproductive system disturbs, as well as 40% with women’s and 20% are related to both.

One of the main reasons for male infertility is Azoospermia (when there’s no sperm in the ejaculated fluid). It may happen because of a lack of sperm production in the testicles or because the ducts that should lead the sperm from the testicles to the urethra are being blocked.

In cases that the sperm production is ok, but they’re being blocked (for whatever reason), the sperm can be extracted through a surgery and be used in Assisted Reproduction processes.

Besides that, there are other frequent causes for male infertility, such as varicocele, hormonal or genetic imbalance and infections (like HPV – Human Papillomavirus, prostatitis, urethritis and urinary infection).

Varicocele Surgical Correction

Usually men tend to visit the doctor in their childhood, then when they’re teenagers, but then there’s quite a gap until they reach around the age of 40, which is when they feel the need to be examined again, due to prostate issues…

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Micro-TESE

Micro-TESE is an acronym for Microdissection Testicular Sperm Extraction. This method, which was initially described by Schlegel, has been proposed as a more effectively alternative to TESE, in which we go straight to the testicles to fetch sperm…

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PESA/MESA

They’re both procedures with the purpose of extracting sperm directly from the epididymis (place that stores the sperm, in where it is nourished and through which it is later transported) to use it in IVF / ICSI when it can’t be collected from the ejaculated fluid…

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Vasectomy Reversal

Vasectomy is a process in which the passage of sperm is obstructed in their way from the testicles to the penis. Although it is considered a permanent contraceptive method, it does not prevent the production of sperm itself, but causes only an obstruction…

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