General anesthesia may offer comfort and the efficient management of anxiety. Sperm retrieval procedures are always carried out in a restricted region. But this is not always needed. Up to 15 percent of couples are infertile. Khurana and sabanegh describe their technique in their 2013 review paper, but do not reference or provide any results for the pvsa procedure (.
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Then, the epididymal tubule is dissected and opened with sharp microsurgical scissors. After a site is located with motile sperm, as many tubules as possible proximal to that site are drained and aspirated. Once the epididymis is visualized, parallel stay sutures are placed on each side of the epididymis (.