Micro-dissection Sperm Retrieval In London

Micro-dissection sperm retrieval is performed if male patients experience a lack of sperm in the semen.

The procedure can improve the sperm count in semen and enable patients to become more fertile.

However, releasing the sperm in semen can be difficult.

Consequently, practitioners use micro-dissection sperm retrieval to locate sperm while attempting to reduce any damage to the testicles.

Prior to the procedure

Male patients will undergo a consultation with their doctor to determine if a micro-dissection sperm retrieval procedure can improve their fertility.

Doctors will take into account a patient’s sperm count and the fertility levels of the semen first.

In addition, doctors will determine if a patient is capable of undergoing the micro-dissection sperm retrieval procedure itself.

Patients will be evaluated using genetic testing and a hormone profile will be completed.

What does the procedure involve?

Patients will be placed under general anaesthetic.

Two precise incisions will be made on the scrotum.

The surgeon will then make incisions into each testicle.

The tubes that contain sperm will then be looked at under a microscope.

An embryologist will be a part of the micro-dissection sperm retrieval procedure, to determine if sperm can be extracted from the tubes.

Recovery after the procedure

Like any surgery, infection is a possibility when undergoing a micro-dissection sperm retrieval procedure.

Following the surgery, patients will feel soreness, swelling, and possible bruising to the scrotum.

Patients may take over the counter painkillers during the recovery process.

In addition, applying ice to reduce the swelling can provide pain relief.

Men who undergo the micro-dissection sperm retrieval procedure should speak with their doctor about possible pain relief medication.

They should also refrain from any physical work or activities following a micro-dissection sperm retrieval procedure.

Participating in physical work or activities can cause further injury and issues to the groin area.



Micro Epididymal Sperm Aspiration Treatment

Micro epididymal sperm aspiration treatment (MESA) is where sperm is aspirated directly under vision from the epididymis.

This is either performed as a procedure on its own when a PESA has failed and an open procedure needs to be performed.

Or it is performed at the time of potential reconstructive surgery where a small incision is made on the very fine sperm tubes or epididymal tubules under a microscope.

The sperm can be aspirated and either stored or used at a cycle time for ISCI treatment.

Surgical sperm retrieval is for individuals who do not have sperm in their ejaculation.

A fine needle is passed into the testis to extract the sperm surgically.

Any sperm retrieved can be used in an immediate ICSI cycle or frozen to be used in the future.

Recovery from MESA treatment

After any procedure to retrieve sperm, there is a recovery period of a few days to a week.

You are advised to avoid activity that would be strenuous.

Strong supportive underwear is highly recommended too.

A prescription for the pain will be issued and patients can experience bleeding, infection or pain following surgery.

Is MESA the procedure for you?

MESA will only be offered to you if we believe that you can produce sperm.

And the sperm collected can only be used for IVF.

Therefore, it is important you want to proceed to this procedure.

It is also very important for patients to be prepared for the non-retrieval of sperm as well.

This doesn’t rule out further procedures being successful, however.

Talk to us in more detail about concerns you might have.

Final screening before the procedure

Before the procedure, all patients are tested for Human Immunodeficiency Syndrome (HIV), as well as Hepatitis B and Hepatitis C.

This will require you sign a consent form before screening the sample.



Frenuloplasty Surgery In London

Frenuloplasty surgery in London need not be something to get anxious about.

From our surgery in Marylebone, we can provide you with the very best treatment during this procedure.

Frenuloplasty is required due to a number of medical reasons.

For example, frenulum breve (or a short frenulum as it is known) is a condition where the frenulum of the penis is too short.

The frenulum is a band of tissue beneath the glans of the penis that is elastic and connects to the foreskin.

It helps the foreskin to contract over the glans, however, in some cases it is too short and tight.

This causes restricted movement and pain in some men, especially when it comes to sexual intercourse.

But the problem can be rectified.

Frenuloplasty surgery procedure

Frenuloplasty is a simple procedure that is often carried out under local anaesthetic.

However, there are some cases where it can be carried out under general anaesthetic.

For those who undergo the procedure, then the surgeon will lengthen the frenulum.

This essentially removes the restriction, helping to increase the range of movement in the skin.

It is a relatively minor procedure that takes around 20 minutes.

The aim?

To enable the individual to have an erection without any pain or bleeding.

Frenuloplasty and recovery

Following a frenuloplasty, however, it is normal for some patients to experience some bleeding as well as swelling and discomfort.

In some cases, patients may be given absorbable stitches to keep the wound closed.

Any dressing applied can then be removed after 24 hours.

After the dressing has been removed, the area can be washed using soap and water.

And the stitches will dissolve after 7-10 days, although there will still be a small amount of bruising and swelling.

This soreness can remain for a further week or more.

After around two weeks, though, it is common for patients to return to their regular level of activity.

Driving is prohibited until patients can carry out an emergency stop without any pain.

Sexual activity can be resumed around two to three weeks after the procedure.

But more importantly, can only resume when the wound is pain-free and comfortable.



Circumcision Surgery In London

Circumcision surgery in London need not be something to get anxious about.

From our surgery in Marylebone, we Minhas can provide you with the very best treatment during this common procedure.

The medical reasons for circumcision are phimosis, recurrent balanitis or paraphimosis, as well as many other medical conditions.

However, in most cases, circumcision is carried out as a result of phimosis, which is essentially a tight foreskin.

Circumcision surgery procedure

In general, circumcision is carried out on a day patient basis.

This means that you will be admitted, have the surgery and then potentially return home the very same day.

Six hours prior to surgery, patients are asked to refrain from drinking or eating.

Once patients arrive at the clinic, they will be taken care of by members of the medical team.

Along with this, they will also be able to discuss the procedure with the surgeon and the anaesthetist.

This point is a final opportunity for patients to discuss concerns and ask any questions that they may have.

Circumcision and recovery

Once the procedure has been completed, patients will still be cared for until they are discharged.

On average, the recovery period lasts around ten days.

Therefore, it is recommended that you take a week off work to recover.

Unlike many other types of medical procedures, there is no requirement to inform the DVLA if you have had a routine circumcision.

Furthermore, you do not have any other medical conditions that can have an impact on your ability to drive.

Instead, it is down to the responsibility of the patient to determine whether they are fit to drive.

However, individuals should definitely refrain from having sexual intercourse for a minimum of four weeks after the operation.

Finally, for three the four days after the operation, patients are likely to feel some sort of discomfort and swelling around the head of the penis.

Rest assured, painkillers will be dispensed to help ease the pain.