Male Fertility, Sperm Retrieval & Vasectomy
Frequently Asked Questions

In approximately 50 percent of infertile couples, the male partner is either the sole cause or a contributing cause of infertility.

Evaluation of both male and female partners is recommended after 6 months to one year of failure to conceive.

It is recommended that couples seeking a full evaluation for male factor infertility do so with a Urologist specifically trained in evaluation and treatment of male infertility.

The initial consultation will consist of reviewing a full personal and family medical history, physical examination and ordering of appropriate diagnostic testing.

For more detailed information please read our Male Fertility Evaluation page

Male infertility treatments can span the full spectrum of therapy from medication to surgery. The type of treatment needed is dependent upon your diagnosis and your reproductive goals.

Vasectomy reversal success rates vary and numerous factors may effect the outcome, such that some men are better candidates for the procedure than others. The rate of success can be as high as 98% and pregnancy rates as high as 65%.

When seeking treatment for a vasectomy reversal it is recommended that you seek care with a urologic surgeon with microsurgical training who performs the procedure at least once a month. Dr Michael Witt meets and exceeds all these criteria.

Couples can expect up to a 12 month time-frame for achieving a pregnancy after a vasectomy reversal procedure has been performed.

The alternative to vasectomy reversal is a technique called sperm retrieval, which is taking sperm surgically directly from the testicle.

Vasectomy reversal is usually an outpatient procedure (without an overnight stay in the hospital). General anesthesia is commonly used to achieve the highest success rate. Most men can be back to work the next day.

A sperm retrieval is indicated when there are no sperm in the ejaculate due to an obstructive or production abnormality. A sperm retrieval may also be indicated when higher-quality sperm can be found in the testicle than the sperm present in the ejaculate.

The types of sperm retrieval are determined by the location of the sperm.  It can either be a microscopic epididymal sperm retrieval (MESA/PESA) or a microscopic testicular sperm retrieval (TESA/TESE).

Due to the low count of sperm retrieved, IUI is not the recommended procedure for achieving the highest pregnancy rate.

For obstructive issues they are about 100% successful. For production abnormalities the success rates range from 20-100% depending on the histology.

It is optimal to have an operating room combined with an embryology lab in order to get immediate results. RBA has a state of the art embryology lab and operations rooms.

It is the most effective, invisible and inexpensive form of contraception available. A vasectomy is considered a permanent method of birth control.

Bleeding and infection occur 5% of the time, chronic pain occurs 5% of the time and failure occurs less than 1% of the time.

No. Erection and ejaculation are unchanged by the procedure.

Sperm which continue to be made by the testicle, move into the occluded vas deferens, degrade and are reabsorbed by the body.

Vasectomis involve the making of an incision and occlusion the vas deferens on both sides. The type of occlusive technique varies based on the surgeon’s preference.  The vasectomy can be done in the office with local anesthesia or in a surgery center with IV sedation.