Regain Fertility with Precision Andrology & World-Class Microsurgery
Male Infertility: Surgical Sperm Retrieval in London.
Professor Asif Muneer offers internationally recognised expertise in the most effective proven surgical techniques for male infertility, based in Central London.
Whether you’re looking to reverse a vasectomy or explore sperm retrieval options, our advanced microsurgical approach maximises your chance of biological fatherhood: safely and compassionately.
An ultimate professional that puts you at ease with his tone and mannerisms, as expected very knowledgeable. explains your treatment and the plan going forward clearly and concise. Very friendly approach. Would recommend Mr Muneer to anyone
Microsurgical Testicular Sperm Extraction (microTESE)
A high-powered microscope guides a systematic search for sperm within the testicles via a midline scrotal incision. Intraoperative analysis of the tissue is performed to identify sperm which can then be cryopreserved.
- Best for: Non-obstructive azoospermia.
- Success rate: Around 55-65% depending on the underlying cause.
- Availability: Offered only at select expert centres such as Harley Street Andrology.
Who is it for?
- Men with obstructive azoospermia where blockages prevent sperm from entering the ejaculated semen despite normal production in the testicles.
- Men with non-obstructive azoospermia (low or no sperm production) where sperm may still be retrieved from the testes.
- Couples aiming to use assisted reproductive technologies rather than vasectomy reversal to achieve pregnancy.
- Men with previous failed vasectomy reversals or conditions like cystic fibrosis-related absence of the vas deferens.
What To Expect During Surgical Sperm Retrieval Surgery
Before The Procedure
- Consultation: Your urologist will review your history, medications, and confirm your consent.
- Tests: Virology blood tests (HIV, hepatitis B, hepatitis C) are required within three months of the procedure to allow sperm freezing.
- Anaesthesia: Options include local anaesthesia (for PESA/TESA) or general/spinal anaesthesia (for TESE/microTESE), this can be discussed with your anaesthetist.
During The Procedure
- Duration: 30–180 minutes, depending on the method.
- Sperm storage: Retrieved sperm are frozen and stored by our affiliated fertility unit for future assisted reproductive techniques (ART) use.
After The Procedure
- Recovery: Expect mild swelling or discomfort for a few days. You’ll receive a scrotal support or can wear tight, supportive underwear.
- Pain relief: Paracetamol or ibuprofen can ease discomfort, and ice packs (not directly on the skin) may reduce swelling.
- Activity: Avoid sexual activity, heavy lifting, or strenuous activity for 1–2 weeks. Most patients resume work within 5–7 days.
- Follow-up: We’ll review your recovery and plan your next steps for fertility treatment.
Risks And Complications
Surgical Sperm Retrieval is a safe procedure, but potential risks include:
- Mild bruising and swelling: Common, affecting 1 in 2 to 1 in 10 patients.
- Possibility that no sperm is found: Varies by condition and technique
- Chronic testicular pain: Rare, between 1 in 50 and 1 in 250 patients.
- Testicular atrophy: Possible shrinkage requiring hormone therapy, between 1 in 50 and 1 in 250 patients.
- Infection or bleeding: Uncommon, between 1 in 50 and 1 in 250 patients, may need further treatment.
Anaesthetic risks: Very rare (less than 1 in 250), discussed by your anaesthetist.
How effective is surgical sperm retrieval?
High Sperm Retrieval Rate
- nearly 100% success for obstructive
- around 55-65% for non-obstructive with microTESE.
Pregnancy Rate
20–50% per IVF/ICSI cycle
Depending on partner age, egg quality, and embryology laboratory success rates.
Highest Success Rates
Due to high volume & accuracy, we exceed international standards
Is surgical sperm retrieval safe?
The procedure is generally safe; however, small risks include temporary discomfort, bruising, and bleeding. All risks will be discussed in detail during your consultation.
Recovery Instructions After Surgical Sperm Retrieval
- Activity: Avoid heavy lifting or sex for 1–2 weeks.
- Follow-Up: Review in 1–2 weeks; sperm frozen for IVF.
- Driving: Arrange transport if under general anaesthesia.
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Professor Muneer’s services are excellent. He’s very understanding and listens to your concerns. The staff are friendly and ensure you are properly informed about any procedures and scans. I highly recommend him to anyone looking for an urology / andrology specialist.
Very understanding and reassuring. Gives clear, understandable explanations and expectations. Very knowledgeable in his field.
Very well talented and mannered. Sharp and explain the treatment in the best way
