How is the epididymal puncture surgery performed?

Patient's question:

Hello doctor, I would like to consult about how the epididymal aspiration surgery is performed. Could you please tell me the cost of the testicular aspiration procedure? Will it be painful? Will it have any impact on my body? Is testicular aspiration the same as a "biopsy"? I have had two consecutive tests and both showed no sperm. How is the epididymal aspiration surgery performed?

Doctor's answer:

The puncture of the testicle is mainly to check whether there are sperm in the epididymis, but it cannot clearly determine the sperm production function of the testicle. A biopsy is the method of checking the sperm production function by taking a small piece of tissue from the testicle. Azoospermia can be confirmed through a biopsy to determine if treatment is necessary. Generally, biopsies performed in hospitals may pose certain risks due to inadequate technology and experience. This can be reduced by undergoing specialized infertility and subfertility examinations. I'm not sure what surgery you had when you were young. If it was cryptorchidism, it could directly cause your inability to have children in the future. I suggest you get an early examination to clarify the situation. Wishing you good health!

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