{"id":729,"date":"2019-10-27T11:29:33","date_gmt":"2019-10-27T11:29:33","guid":{"rendered":"https:\/\/www.lowcostivf.net\/surgical-sperm-retrieval\/"},"modified":"2020-01-27T12:45:14","modified_gmt":"2020-01-27T12:45:14","slug":"surgical-sperm-retrieval","status":"publish","type":"page","link":"http:\/\/www.lowcostivf.net\/tr\/surgical-sperm-retrieval\/","title":{"rendered":"Cerrahi Sperm Toplama"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"729\" class=\"elementor elementor-729\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d5c8bbb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d5c8bbb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bd130e2\" data-id=\"bd130e2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-639eb75 elementor-widget elementor-widget-jnews_element_header_elementor\" data-id=\"639eb75\" data-element_type=\"widget\" data-widget_type=\"jnews_element_header_elementor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div  class=\"jeg_block_heading jeg_block_heading_5 jeg_aligncenter jnews_module__0_6a07a9c9bf75f\">\n                <h3 class=\"jeg_block_title\"><span>Cerrahi Sperm Elde Etmeye Genel Bak\u0131\u015f<\/span><\/h3>\n                <style>.jnews_module__0_6a07a9c9bf75f.jeg_block_heading_5 .jeg_block_title span, .jnews_module__0_6a07a9c9bf75f.jeg_block_heading_5 .jeg_block_title i { color: #7a7a7a; }<\/style>\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c8d97fa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c8d97fa\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-526e722\" data-id=\"526e722\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fd69d09 elementor-widget elementor-widget-jnews_post_feature_elementor\" data-id=\"fd69d09\" data-element_type=\"widget\" data-widget_type=\"jnews_post_feature_elementor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jeg_featured featured_image\"><a href=\"https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval.jpg\"><div class=\"thumbnail-container animate-lazy\" style=\"padding-bottom:50%\"><img loading=\"lazy\" decoding=\"async\" width=\"750\" height=\"375\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAP\/\/\/wAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw==\" class=\"attachment-jnews-750x375 size-jnews-750x375 lazyload wp-post-image\" alt=\"Cerrahi Sperm Toplama\" sizes=\"(max-width: 750px) 100vw, 750px\" data-src=\"https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval-750x375.jpg\" data-srcset=\"https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval-750x375.jpg 750w, https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval-300x150.jpg 300w, https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval-768x384.jpg 768w, https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval-1024x512.jpg 1024w, https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval-360x180.jpg 360w, https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/11\/Surgical-Sperm-Retrieval.jpg 1140w\" data-sizes=\"auto\" data-expand=\"700\" \/><\/div><\/a><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-95fa1ca\" data-id=\"95fa1ca\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-272633b elementor-widget elementor-widget-text-editor\" data-id=\"272633b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Azospermi k\u0131s\u0131rl\u0131\u011f\u0131n ana fakt\u00f6rlerinden biridir. T\u00fcm erkek k\u0131s\u0131rl\u0131k vakalar\u0131n\u0131n yakla\u015f\u0131k 15%&#039;sinin ejak\u00fclatta canl\u0131 sperm h\u00fccrelerinin tamamen yoklu\u011fu anlam\u0131na gelen azospermiden kaynakland\u0131\u011f\u0131 tahmin edilmektedir. Azosperminin nedenleri iki gruba ayr\u0131l\u0131r. Obstr\u00fcktif azospermi, sperm da\u011f\u0131t\u0131m sistemi boyunca bir yerde bir t\u0131kan\u0131kl\u0131k oldu\u011funu ve canl\u0131 sperm h\u00fccrelerinin bloke olduklar\u0131 i\u00e7in ejak\u00fclata giremediklerini d\u00fc\u015f\u00fcnd\u00fcr\u00fcr. Obstr\u00fcktif azospermi, spermin ge\u00e7i\u015fine izin veren kanallardan birindeki bir sorundan kaynaklanabilir. Enfeksiyonlar, bu t\u00fcr azosperminin yayg\u0131n bir nedenidir. Non-obstr\u00fcktif azospermi, bir t\u0131kanmadan ziyade sperm \u00fcretiminde bir sorun oldu\u011funu ve testislerin hi\u00e7 sperm \u00fcretemedi\u011fini d\u00fc\u015f\u00fcnd\u00fcr\u00fcr. Bunun nedeni kromozomal anormalliklere ba\u011fl\u0131 testis ba\u015far\u0131s\u0131zl\u0131klar\u0131, iyi huylu kistler olarak bilinen varikosel ve hormonal problemler olabilir. Her durumda, bir semen analizi yapt\u0131rd\u0131ysan\u0131z ve sonu\u00e7lar azospermiyi g\u00f6steriyorsa, tam te\u015fhis i\u00e7in bir \u00fcrolog taraf\u0131ndan daha fazla ara\u015ft\u0131rma yap\u0131lmal\u0131d\u0131r.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-189a7a8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"189a7a8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-15b7d6c5\" data-id=\"15b7d6c5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-35055a0a elementor-widget elementor-widget-text-editor\" data-id=\"35055a0a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Tedaviye ba\u015flamadan \u00f6nce erkek hastan\u0131n \u00fcrolo\u011fu taraf\u0131ndan de\u011ferlendirilmesi ve obstr\u00fcktif veya obstr\u00fcktif olmayan azosperminin kesin nedeninin saptanmas\u0131 \u00e7ok \u00f6nemlidir. Benzer \u015fekilde, ejak\u00fclat sonras\u0131 idrar tahlili, azospermi i\u00e7in olas\u0131 bir a\u00e7\u0131klama olarak retrograd ejak\u00fclasyonun ekarte edilebilmesi i\u00e7in azospermik erkeklere uygulanacak \u00f6nemli bir testtir. Retrograd ejak\u00fclasyon te\u015fhisi konulursa idrar\u0131n\u0131zdan sperm izolasyonu i\u00e7in \u00e7ok basit y\u00f6ntemler uygulanabilir ve izole edilen sperm h\u00fccreleri t\u00fcp bebek tedavisi i\u00e7in kullan\u0131labilir. Fizik muayene ayr\u0131ca azosperminin olas\u0131 nedenlerinin g\u00f6stergesi olacakt\u0131r. \u00d6rne\u011fin, normal testis hacmine sahip, iki tarafl\u0131 endure epididim veya vas deferens olmayan erkekler, obstr\u00fcktif etyolojiden azospermik olarak tan\u0131mlanabilir. \u00d6te yandan, d\u00fc\u015f\u00fck testis hacmi ve kriptor\u015fidizm \u00f6yk\u00fcs\u00fc varl\u0131\u011f\u0131, etiyolojisi obstr\u00fcktif olmayan bir azospermi vakas\u0131na i\u015faret edecektir.<\/p><p>T\u0131p teknolojilerindeki son yeniliklerle birlikte, cerrahi sperm elde etme y\u00f6ntemleri kullan\u0131labilir hale geldi. Herhangi bir sperm elde etme prosed\u00fcr\u00fcnde \u00f6ncelik verilmesi gereken \u00fc\u00e7 ana hedef vard\u0131r:<\/p><p>-Cerrahi prosed\u00fcr ile m\u00fcmk\u00fcn olan en iyi kalitede sperm elde etmek. Elde edilecek sperm \u00f6rne\u011finin normal sperm ejak\u00fclat\u0131nda bulunan olgun spermatozoay\u0131 i\u00e7ermeyece\u011fi g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, cerrah\u0131n yine de hastan\u0131n canl\u0131 spermatozoaya m\u00fcmk\u00fcn oldu\u011funca yak\u0131n olabilecek sperm h\u00fccrelerini elde etmek i\u00e7in elinden gelenin en iyisini yapmas\u0131 gerekir. sperm h\u00fccreleri.<br \/>-T\u00fcp bebek d\u00f6ng\u00fcs\u00fc s\u0131ras\u0131nda taze kullan\u0131m i\u00e7in ve muhtemelen gelecekteki bir d\u00f6ng\u00fc i\u00e7in kriyoprezervasyon i\u00e7in yeterli miktarda sperm elde etmek. Bu \u00e7ok k\u00fc\u00e7\u00fck bir i\u015flem olsa da yine de cerrahi bir i\u015flemdir, bu nedenle m\u00fcmk\u00fcnse birka\u00e7 t\u00fcp bebek d\u00f6ng\u00fcs\u00fc i\u00e7in yeterli sperm elde etmeyi ama\u00e7lamal\u0131d\u0131r.<br \/>-Sperm \u00f6rne\u011fini cerrahi olarak al\u0131rken \u00fcreme sisteminde minimum hasar oldu\u011fundan emin olmak, b\u00f6ylece gelecekteki cerrahi sperm elde etme\/\u00e7\u0131karma giri\u015fimleri tehlikeye at\u0131lmaz.<\/p><p>Cerrahi sperm toplama y\u00f6ntemleri \u015funlar\u0131 i\u00e7erir:<\/p><p><strong>1- Perk\u00fctan Epididimal Sperm Aspirasyonu (PESA)<\/strong><br \/>PESA, vazektomi veya ba\u015fka bir t\u0131kan\u0131kl\u0131k nedeniyle vas deferens t\u0131kan\u0131kl\u0131\u011f\u0131 olan erkekler i\u00e7in kullan\u0131lan basit bir sperm \u00e7\u0131karma y\u00f6ntemidir. Yara izini en aza indirmek i\u00e7in PESA genellikle tek tarafl\u0131 yap\u0131l\u0131r. Bu prosed\u00fcrle elde edilen spermler olgunla\u015fmam\u0131\u015f ve kalitesiz spermler olsa da, \u00e7o\u011fu zaman PESA, ICSI prosed\u00fcr\u00fc i\u00e7in yeterli sperm h\u00fccresi verecektir. Ayr\u0131ca t\u0131kan\u0131kl\u0131\u011fa maruz kalma s\u00fcreniz uzad\u0131k\u00e7a bu y\u00f6ntemle elde edilebilecek sperm kalitesinin ve miktar\u0131n\u0131n d\u00fc\u015f\u00fck oldu\u011funu da unutmamal\u0131s\u0131n\u0131z. Bu nedenle, gen\u00e7 hastalar genellikle bu y\u00f6nteme daha ileri ya\u015f grubundaki erkeklere g\u00f6re daha iyi yan\u0131t verir. Benzer \u015fekilde, PESA vazektomili hastalarda iyi sonu\u00e7lar vermesine ra\u011fmen, vazektomi sonras\u0131 s\u00fcre iyi bir \u00f6rne\u011fin elde edilip edilmeyece\u011fi konusunda belirleyici olabilir.<\/p><p><strong>2- Mikro Epididimal Sperm Aspirasyonu (MESA)<\/strong><br \/>MESA sperm elde etme tekni\u011fi, PESA prosed\u00fcr\u00fcn\u00fcn daha geli\u015fmi\u015f bir versiyonu olan ince bir i\u011fne ile spermin epididimden aspirasyonunu i\u00e7erir. Cerrahi bir i\u015flemdir ve genel anestezi alt\u0131nda yap\u0131l\u0131r. Bu teknik kullan\u0131larak elde edilen spermler genellikle kalitesizdir ancak genellikle dondurulmaya uygundur. Baz\u0131 durumlarda, bir dizi ICSI prosed\u00fcr\u00fc i\u00e7in yeterli sperm toplanabilir ve bu da hastalar\u0131n spermin bir k\u0131sm\u0131n\u0131 devam eden taze d\u00f6ng\u00fc i\u00e7in kullanmas\u0131na ve bir k\u0131sm\u0131n\u0131 gelecekteki bir d\u00f6ng\u00fc i\u00e7in saklamas\u0131na olanak tan\u0131r.<\/p><p><strong>3- Testik\u00fcler Sperm Ekstraksiyonu (TESE)<\/strong><br \/>Bu sperm ekstraksiyon y\u00f6ntemi genellikle spermin epididimden elde edilemedi\u011fi, obstr\u00fcktif olmayan azospermi tipi i\u00e7in kullan\u0131l\u0131r. TESE i\u015flemi, testisten k\u00fc\u00e7\u00fck bir doku par\u00e7as\u0131n\u0131n al\u0131nmas\u0131n\u0131 ve bu dokudan spermin izole edilmesini gerektirir. MESA veya PESA ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, daha az say\u0131da sperm h\u00fccresinin \u00e7\u0131kar\u0131lmas\u0131 muhtemeldir ve baz\u0131 durumlarda, biyopsi dokusunda canl\u0131 sperm bulunmayabilir, bu da d\u00f6ng\u00fcn\u00fcn iptal edilmesini veya sperm ba\u011f\u0131\u015f\u0131n\u0131n se\u00e7ilmesini gerektirebilir.<\/p><p>Cerrahi y\u00f6ntemlerle elde edilen\/al\u0131nan sperm \u00f6rneklerinin ejak\u00fclatta bulunan spermler kadar olgun olmayaca\u011f\u0131 bilinmelidir, bu nedenle cerrahi olarak elde edilen sperm \u00f6rneklerinde ba\u015far\u0131 oranlar\u0131n\u0131n standart sperm \u00f6rneklerine g\u00f6re daha d\u00fc\u015f\u00fck olmas\u0131 muhtemeldir. Ayr\u0131ca, baz\u0131 durumlarda cerrahi olarak elde edilen numunenin dondurulmas\u0131 bir se\u00e7enek gibi g\u00f6r\u00fcnse de, bu numunenin canl\u0131l\u0131\u011f\u0131n\u0131n dondurma\/\u00e7\u00f6z\u00fclme prosed\u00fcrleriyle daha da azalmas\u0131 muhtemeldir. Ameliyatla elde edilen sperm h\u00fccrelerini tazeyken kullanmak her zaman iyi bir fikirdir.<\/p><p>A\u015fa\u011f\u0131daki diyagram, cerrahi sperm elde etme y\u00f6ntemlerinin her birinin nas\u0131l uyguland\u0131\u011f\u0131n\u0131 g\u00f6stermektedir:<\/p><p><a> <img decoding=\"async\" style=\"width: auto; max-width: 100%;\" src=\"https:\/\/www.lowcostivf.net\/wp-content\/uploads\/2019\/10\/993378_orig.jpg\" alt=\"Cerrahi sperm \u00e7\u0131karma y\u00f6ntemleri\" \/><\/a><\/p><p>Ayr\u0131ca ilginizi \u00e7ekebilir &quot;<a href=\"\/tr\/stem-cell-therapy-for-azoospermia\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>K\u00f6k H\u00fccre Terap\u00f6tik \u00c7al\u0131\u015fmas\u0131<\/strong><\/a>\u201d Obstr\u00fcktif Olmayan Azoospermi i\u00e7in.<\/p><hr class=\"styled-hr\" style=\"width: 100%;\" \/>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Cerrahi Sperm Alma Resmine Genel Bak\u0131\u015f: 750\u00d7375 Boyutu: Azospermi, k\u0131s\u0131rl\u0131\u011f\u0131n ana fakt\u00f6rlerinden biridir. T\u00fcm erkek k\u0131s\u0131rl\u0131\u011f\u0131 vakalar\u0131n\u0131n yakla\u015f\u0131k 15%&#039;sinin, ejak\u00fclatta canl\u0131 sperm h\u00fccrelerinin tamamen yoklu\u011fu anlam\u0131na gelen azospermiden kaynakland\u0131\u011f\u0131 tahmin edilmektedir. Azosperminin nedenleri iki gruba ayr\u0131l\u0131r. [\u2026]<\/p>","protected":false},"author":1,"featured_media":1404,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-729","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Surgical Sperm Retrieval - North Cyprus IVF<\/title>\n<meta name=\"description\" content=\"Surgical sperm extraction methods such as TESA, PESA or MESA allow us to obtain sperm surgically from within the epididymis or the testis.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.lowcostivf.net\/tr\/surgical-sperm-retrieval\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Surgical Sperm Retrieval - 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