Urology is the department that deals with urogenital (kidney, bladder, prostate and genital system) illnesses for men, and diseases of urinary system for women. Thanks to the technological advances and knowledge accumulated in the last 20 years in male infertility, males can have children in most cases, which were deemed hopeless before. While it was impossible to have children in cases of low sperm count, no sperm activity, deformation of the sperm or when there was no sperm in the semen (azoospermia); today, successful results are achieved in a serious number of patients with the developed medical treatments (drug therapies) and surgery methods. Some of the surgeries performed in our hospital for male infertility are the following:

PESA

It is the process of sperm retrieval from the epididymis (the organ that stores the sperm on the testicle) with the needle, from patients who cannot ejaculate sperm with semen due to congestion in the sperm ducts. It should be done in the operating room and by urologists.

MESA

It is the obtaining of sperm by open method from the epididymis of patients with obstruction of sperm ducts. It should be done in the operating room and by urologists with related experience.

 

TESA

It is the process of obtaining sperm from the testicle without opening it with a special needle and method. It should be done in the operating room and by urologists with related experience.

MicroTESE

In cases where the methods described above are unsuccessful, sperm retrieval is performed under anesthesia in the operating room by opening the testis and examining all the regions under the microscope. It should be done in the operating room and by urologists with related experience. The utilization of microscope in this surgery increases the operation’s chances of success. With the advanced technology, the sperm extracted with this method can be frozen and successfully used in future treatment.

Microscopic Varicoselectomy: Varicocele (varicose veins in the testicle veins) is detected in 40% of the males examined for not being able to have a child. Surgery is not required in all of such patients. However, the surgery must be performed under microscope for requiring patients. This reduces the complications (unwanted effects) and increases the chances of success. Sexual dysfunctions, micturition disorders, stone disease, urotoncologic diseases, prostate diseases, male family planning interventions (vasectomy) are evaluated in the urology polyclinic of our hospital.