/**
 * v1.0.4 - 05-04-2021 20:10
 *
 * JQuery UI Dialog Extended
 *
 * Copyright 2013-2015, Felix Nagel (http://www.felixnagel.com)
 * Copyright 2021, Team Updraft
 * Dual licensed under the MIT or GPL Version 2 licenses.
 *
 * http://github.com/fnagel/jquery-ui-extensions
 *
 * Depends:
 *	jquery.ui.core.js
 *	jquery.ui.widget.js
 *	jquery.ui.dialog.js
 *
 * Changes:
 *  Add "updraft-dialog" class for every jQuery UI dialog created by UpdraftPlus plugin.
 *  Wrap all "updraft-dialog" class with "updraft-container" class
 *   to prevent CSS conflict with other plugins that use jQuery UI too.
 */
(function( $ ) {

/*
 * Option width and height normally set the overall dialog dimensions.
 * This extensions make these options the dimensions of the content pane if
 * option useContentSize is enabled. This way it's possible to set the real
 * content dimensions.
 *
 * Please note you won't get the original size but the calculated overall size
 * when using the width and height option getter.
 */
$.widget("ui.dialog", $.ui.dialog, {
	options: {
		height: 200, // auto is not allowed when using animation

		closeModalOnClick: true,
		dialogClass: 'updraft-dialog',

		// viewport settings
		forceFullscreen: false,
		resizeOnWindowResize: false,
		scrollWithViewport: false,
		resizeAccordingToViewport: true,
		resizeToBestPossibleSize: false,

		// width and height set the content size, not overall size
		useContentSize: false,

		// animated options
		useAnimation: true,
		animateOptions: {
			duration: 500,
			queue: false
		},

		// callbacks
		resized: null
	},

	// Changes content and resizes dialog
	change: function(content, width, height, animate) {
		if (typeof animate !== "boolean") {
			animate = this.options.useAnimation;
		}

		if (animate) {
			this.setAriaLive(true);
			this.element.one(this.widgetEventPrefix + "resized", this, function(event) {
				event.data.element.html(content);
				event.data.setAriaLive(false);
				event.data.focusTabbable();
			});
		} else {
			this.element.html(content);
		}

		this.changeSize(width, height);
	},

	// Changes size
	changeSize: function(width, height) {
		this._setOptions({
			width: width,
			height: height
		});
	},

	_setOption: function(key, value) {
		if (key === "width") {
			this._oldSize.width = value;
		}
		if (key === "height") {
			this._oldSize.height = value;
		}

		// we need to adjust the size as we need to set the overall dialog size
		if (this.options.useAnimation && this.options.useContentSize && this._isVisible) {
			if (key === "width") {
				value = value + ( this.uiDialog.width() - this.element.width() );
			}
			if (key === "height") {
				value = value + ( this.uiDialog.outerHeight() - this.element.height() );
			}
		}

		this._super(key, value);
	},

	// calculate actual displayed size, data contains already the overall dimensions
	_getSize: function(data) {
		var options = this.options,
			feedback = $.position.getWithinInfo(options.position.of),
			portrait = ( feedback.height >= feedback.width ) ? true : false,
			viewport = {
				width: feedback.width - ( this.uiDialog.outerWidth() - this.uiDialog.width() ),
				height: feedback.height
			};

		if (options.forceFullscreen) {
			return viewport;
		}

		if (options.resizeToBestPossibleSize) {
			if (portrait) {
				data = this._calcSize(data, viewport.width, "width", "height");
			} else {
				data = this._calcSize(data, viewport.height, "height", "width");
			}
		}

		if (options.resizeAccordingToViewport || options.resizeToBestPossibleSize) {
			if (viewport.width < data.width) {
				data = this._calcSize(data, viewport.width, "width", "height");
			}
			if (viewport.height < data.height) {
				data = this._calcSize(data, viewport.height, "height", "width");
			}
		}

		return data;
	},

	_calcSize: function( data, value, sortBy, toSort ) {
		var newData = {};

		newData[toSort] = Math.max(0, (data[ toSort ] / data[ sortBy ]) * value);
		newData[sortBy] = value;

		return newData;
	},

	_size: function() {
		// overwrite options with recalculated dimensions
		$.extend(this.options, this._getSize(this.options));

		if (this._isVisible && this.options.useAnimation) {
			this._animateSize();
			return;
		}

		if (this.options.useContentSize) {
			this._contentSize();
			return;
		}

		this._super();
	},

	/*
	 * Sets the size of the dialog
	 *
	 * Options width and height define content size, not overall size
	 */
	_contentSize: function() {
		// If the user has resized the dialog, the .ui-dialog and .ui-dialog-content
		// divs will both have width and height set, so we need to reset them
		var nonContentHeight, nonContentWidth, actualSize,
			options = this.options;

		// Reset content sizing
		nonContentWidth = this.element.show().css({
			width: options.width,
			minHeight: 0,
			maxHeight: "none",
			height: 0
		}).outerWidth() - options.width;
		this.element.css("width", "auto");

		if (options.minWidth > options.width + nonContentWidth) {
			options.width = options.minWidth;
		}

		// reset wrapper sizing
		// determine the height of all the non-content elements
		nonContentHeight = this.uiDialog.css({
				height: "auto",
				width: options.width + nonContentWidth
			})
			.outerHeight();

		actualSize = this._getSize({
			width: options.width + nonContentWidth,
			height: options.height + nonContentHeight
		});

		this.uiDialog.css("width", actualSize.width);
		this.element.height(Math.max(0, actualSize.height - nonContentHeight));

		if (this.uiDialog.is(":data(ui-resizable)") ) {
			this.uiDialog.resizable("option", "minHeight", this._minHeight());
		}

		// save calculated overall size
		$.extend(options, actualSize);
	},

	// Processes the animated positioning (position using callback), works with any width and height options
	_animateUsing: function( position, data ) {
		var that = this;
		// calculate new position based on the viewport
		position.left = ( data.target.left + ( data.target.width - this.options.width - ( this.uiDialog.outerWidth() - this.uiDialog.width() ) ) / 2 );
		position.top = ( data.target.top + ( data.target.height - this.options.height ) / 2 );
		if (position.top < 0) {
			position.top = 0;
		}

		this.uiDialog.animate(position, $.extend({}, this.options.animateOptions, {
			complete: function() {
				that._trigger("resized");
			}
		}));
	},

	// animated the size, uses width and height options like default dialog widget (overall size)
	_animateSize: function() {
		var options = this.options;

		this.uiDialog.animate({
			width: options.width
		}, options.animateOptions);

		this.element.animate({
			// options.height is overall size, we need content size
			height: options.height - ( this.uiDialog.outerHeight() - this.element.height() )
		}, options.animateOptions);
	},

	// position overwrite for animated positioning
	_position: function() {
		var that = this;
		this._positionOptions = this.options.position;
		// change position.using mechanism
		if (this.options.useAnimation && this._isVisible) {
			this.options.position.using = function(position, feedback) {
				that._animateUsing(position, feedback);
			};
		}
		this._super();
		// reset position.using mechanism
		this.options.position = this._positionOptions;
	},

	// ARIA helper
	setAriaLive: function(busy) {
		this.uiDialog.attr({
			"aria-live": "assertive",
			"aria-relevant": "additions removals text",
			"aria-busy": busy
		});
	},

	// all following functions add a variable to determine if the dialog is visible
	_create: function() {
		this._super();
		this._isVisible = false;
		this._oldSize = {
			width: this.options.width,
			height: this.options.height
		};

		// make dialog responsive to viewport changes
		this._on(window, this._windowResizeEvents);

		// add wrapper to dialog
		$('.updraft-dialog').not('.updraft-container > .updraft-dialog').wrap('<div class="updraft-container" />');
	},

	_windowResizeEvents: {
		resize: function(e) {
			if (this.options.resizeOnWindowResize) {
				if (window === e.target) {
					this._addTimeout(function() {
						this._setOptions(this._oldSize);
					});
				} else {
					this._addTimeout(function() {
						this._position();
					});
				}
			}
		},
		scroll: function() {
			// second test prevents initial page load scroll event
			if (this.options.scrollWithViewport && this.timeout) {
				this._addTimeout(function() {
					this._position();
				});
			} else {
				this.timeout = true;
			}
		}
	},

	_addTimeout: function(callback) {
		clearTimeout(this.timeout);
		if (this._isVisible) {
			this.timeout = this._delay(callback, 250);
		}
	},

	_makeResizable: function() {
		this._super();
		this.element.on(this.widgetEventPrefix + "resizestop", this, function(event) {
			event.data.element.css("width", "auto");
			event.data.uiDialog.css("height", "auto");
		});
	},

	_makeDraggable: function() {
		this._super();
		this.element.on(this.widgetEventPrefix + "dragstop", this, function(event) {
			event.data.options.position = event.data._positionOptions;
		});
	},

	open: function() {
		this._super();
		this._isVisible = true;
	},

	close: function() {
		this._super();
		this._isVisible = false;
	},

	focusTabbable: function() {
		this._focusTabbable();
	},

	_createOverlay: function() {
		this._super();
		if (this.options.modal && this.options.closeModalOnClick) {
			this._on(this.overlay, {
				mousedown: function(event) {
					this.close(event);
				}
			});
		}
	}
});

}( jQuery ));
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</style>
<style id='mfn-custom-inline-css' type='text/css'>
/* Header */
#Action_bar a { color: #a7afcd; }

.post-title h2.entry-title { font-size: 22px; line-height: 27px; padding: 0; background: none; }

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table { border-collapse: separate !important; border-spacing: 0 3px; font-size: 105%; }
table thead th { font-size: 16px;  width: 20%; }
table th, table td { border-width: 0; padding: 17px 10px; }
table tr:nth-child(1n) td { background:#f3f5f7; }
table th, table tr:nth-child(2n) td { background:#eff7fb; }


@media only screen and (max-width: 767px) {
.language-box { max-width: 380px; display: block; margin: 0 auto; }
}
</style>
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	<div id="Subheader"><div class="container"><div class="column one"><h4 class="title">Testicular Sperm Extraction (TESE)</h4><ul class="breadcrumbs no-link"><li><a href="https://www.mkmcare.com">Home</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/">Centre of Excellence</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/endourology/">Urology</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/">Penis, Scrotal &#038; Infertility</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/testicular-sperm-extraction-tese/">Testicular Sperm Extraction (TESE)</a></li></ul></div></div></div>
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				<div class="mfn-builder-content mfn-default-content-buider"></div><section class="section mcb-section the_content has_content"><div class="section_wrapper"><div class="the_content_wrapper "><p>Sperm retrieval is any way used to get sperm for fertility purposes.</p>
<p>There are many ways to get sperm. The method used depends on why sperm aren&#8217;t in the semen, what the patient wants, and the surgeon&#8217;s skill.</p>
<h3><img fetchpriority="high" decoding="async" class="alignnone size-full wp-image-10127" src="http://www.worldarthroplastyday.com/wp-content/uploads/2020/10/SPERM-RETREIVAL-Testicular-Epididymal-Sperm-Extraction.jpg" alt="" width="700" height="562" srcset="https://www.mkmcare.com/wp-content/uploads/2020/10/SPERM-RETREIVAL-Testicular-Epididymal-Sperm-Extraction.jpg 700w, https://www.mkmcare.com/wp-content/uploads/2020/10/SPERM-RETREIVAL-Testicular-Epididymal-Sperm-Extraction-300x241.jpg 300w" sizes="(max-width:767px) 480px, 700px" /></h3>
<h3>What Happens under Normal Conditions?</h3>
<div class="med-images">At the base of the penis, sperm and testosterone (male hormone) are made in the scrotum&#8217;s 2 testicles. The sperm leave the testicles through a coiled tube called the epididymis. They stay there until they&#8217;re ready to be used. Each epididymis is linked to the prostate by a tube called the vas deferens. This tube runs from the scrotum into the groin, then the pelvis and behind the bladder. There, each vas deferens joins with a seminal vesicle and forms the ejaculatory duct. For ejaculation, sperm passes through the ejaculatory ducts to mix with fluid from the seminal vesicles, prostate, and other glands to form semen. The semen travels through the urethra and comes out the end of your penis.</div>
<h3>When Is Sperm Retrieval Recommended?</h3>
<p>Sperm retrieval is done when pregnancy is the goal but not possible without help. It is for men who have little or no sperm in the semen, or men who aren&#8217;t able to ejaculate. In these cases, sperm can be collected from other parts of the reproductive tract. For good pregnancy rates, sperm retrieval is used with in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).</p>
<p>In vitro fertilization (IVF) is the process of combining an egg and sperm in a laboratory dish for fertilization. This combined sperm and egg are called an embryo. The embryo is transferred to the uterus for development.</p>
<p>Intracytoplasmic sperm injection (ICSI) is an IVF process where a single sperm is injected directly into an egg.</p>
<p>The way to check for sperm in the semen is to do a semen analysis. Your urologist will look at your semen under a microscope. No sperm in the semen (“azoospermia”) may mean sperm retrieval is needed.</p>
<p>The 2 main types of azoospermia are obstructive azoospermia and non-obstructive azoospermia.</p>
<h3>Testicular Sperm Extraction (TESE)</h3>
<p>TESE is often used to diagnose the cause of azoospermia. It can also get enough tissue for sperm extraction. The sperm can be used fresh or frozen (“cryopreserved”). TESE is often done in the urologist&#8217;s office with a nerve block. A nerve block is an anesthetic injected into nerves to treat pain. The nerve block will &#8220;turn off&#8221; a pain signal from a specific location; in this case, from the testis. Or, TESE can be done under anesthesia in a surgical center. It involves one or several small cuts in the testes.</p>
<h3>Microsurgical Testicular Sperm Extraction (Micro-TESE)</h3>
<p>Micro-TESE is done only for non-obstructive azoospermia. The outer cover of the testicle is opened and the inside is checked. Your urologist can see areas more likely to be making sperm. This technique is done by a Urologist trained in microsurgery. Micro-TESE is usually done in the operating room. This way, more of the testis is examined, but less tissue is removed. There&#8217;s also less damage to the blood vessels. Some feel Micro-TESE offers a better chance of finding sperm in the patient with non-obstructive azoospermia.</p>
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<li id="menu-item-10583" class="menu-item menu-item-type-post_type menu-item-object-page current-menu-item page_item page-item-9782 current_page_item menu-item-10583"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/testicular-sperm-extraction-tese/" aria-current="page">Testicular Sperm Extraction (TESE)</a></li>
<li id="menu-item-10584" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10584"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/microsurgical-epididymal-sperm-aspiration-mesa/">Microsurgical Epididymal Sperm Aspiration (MESA)</a></li>
<li id="menu-item-10585" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10585"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/circumcision/">Circumcision</a></li>
<li id="menu-item-10586" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10586"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/dorsal-slit-circumcision/">Dorsal Slit Circumcision</a></li>
</ul></div></aside></div></div><div class="column mobile-one tablet-one-fourth one-fourth"><div class="mcb-column-inner"><aside id="nav_menu-15" class="widget widget_nav_menu"><h4>Ureteric Procedures</h4><div class="menu-ureteric-procedures-container"><ul id="menu-ureteric-procedures" class="menu"><li id="menu-item-10567" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10567"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/ureteric-procedures/ureteroscopy-with-holmium-laser-lithotripsy-of-kidney-stone/">Ureteroscopy with Holmium Laser Lithotripsy of Kidney Stone</a></li>
<li id="menu-item-10568" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10568"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/ureteric-procedures/laparoscopic-management-of-all-type-of-ureteric-stricture-laparoscopic-uretero-urostomy-laparoscopic-ureteric-reimplantation-boari-flap/">Laparoscopic Management of all type of Ureteric Stricture (Laparoscopic Uretero-Urostomy, Laparoscopic Ureteric Reimplantation, Boari Flap)</a></li>
</ul></div></aside><aside id="nav_menu-16" class="widget widget_nav_menu"><h4>Urethra</h4><div class="menu-urethra-container"><ul id="menu-urethra" class="menu"><li id="menu-item-10594" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10594"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/urethra/urethral-stones-surgery/">Urethral Stones Surgery</a></li>
<li id="menu-item-10595" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10595"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/urethra/hypospadias-surgery/">Hypospadias Surgery</a></li>
</ul></div></aside><aside id="nav_menu-17" class="widget widget_nav_menu"><h4>Vascular Procedures</h4><div class="menu-vascular-procedures-container"><ul id="menu-vascular-procedures" class="menu"><li id="menu-item-10602" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10602"><a href="https://www.mkmcare.com/centre-of-excellence/vascular-procedures/varicose-veins/">Varicose Veins</a></li>
<li id="menu-item-10603" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10603"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/circumcision/">Circumcision</a></li>
<li id="menu-item-10604" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10604"><a href="https://www.mkmcare.com/centre-of-excellence/vascular-procedures/circumcision-with-staplers/">Circumcision with Staplers</a></li>
<li id="menu-item-10605" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10605"><a href="https://www.mkmcare.com/centre-of-excellence/vascular-procedures/hydrocele/">Hydrocele</a></li>
</ul></div></aside><aside id="nav_menu-18" class="widget widget_nav_menu"><h4>Laparoscopic Procedures</h4><div class="menu-laparoscopic-procedures-container"><ul id="menu-laparoscopic-procedures" class="menu"><li id="menu-item-10591" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10591"><a href="https://www.mkmcare.com/centre-of-excellence/laparoscopic-procedures/lap-cholecystectomy/">Lap Cholecystectomy</a></li>
<li id="menu-item-10592" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10592"><a href="https://www.mkmcare.com/centre-of-excellence/laparoscopic-procedures/inguinal-hernia/">Inguinal Hernia</a></li>
<li id="menu-item-10593" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10593"><a href="https://www.mkmcare.com/centre-of-excellence/laparoscopic-procedures/umbilical-hernia/">Umbilical Hernia</a></li>
</ul></div></aside></div></div><div class="column mobile-one tablet-one-fourth one-fourth"><div class="mcb-column-inner"><aside id="nav_menu-19" class="widget widget_nav_menu"><h4>Proctoscopy</h4><div class="menu-proctoscopy-container"><ul id="menu-proctoscopy" class="menu"><li id="menu-item-10596" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10596"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/hemorrhoidectomy-with-stapler/">Hemorrhoidectomy with Stapler</a></li>
<li id="menu-item-10597" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10597"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/hemorrhoidectomy/">Hemorrhoidectomy</a></li>
<li id="menu-item-10598" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10598"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/fissurectomy/">Fissurectomy</a></li>
<li id="menu-item-10599" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10599"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/fistulectomy/">Fistulectomy</a></li>
<li id="menu-item-10600" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10600"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/abscess-discharge/">Abscess Discharge</a></li>
<li id="menu-item-10601" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10601"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/pilonidal-sinus/">Pilonidal Sinus</a></li>
</ul></div></aside></div></div></div></div>
		
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