{"id":892,"date":"2021-05-13T05:24:18","date_gmt":"2021-05-13T05:24:18","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/infertility\/?page_id=892"},"modified":"2023-10-11T17:00:26","modified_gmt":"2023-10-11T17:00:26","slug":"testicular-sperm-aspiration","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/","title":{"rendered":"Testicular Sperm Aspiration and Retrieval (TESA) &#8211; Top Specialists in NYC"},"content":{"rendered":"<h1><strong>Testicular Sperm Aspiration (TESA) &#8211; Treatment for Obstructive Azoospermia <\/strong><strong>in New York City<\/strong><\/h1>\n<p>by<strong> <a title=\"Dr. Alex Shteynshlyuger\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/urologists\/dr-alex-shteynshlyuger\/\">Alex Shteynshlyuger, MD<\/a><\/strong><\/p>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/contactus\/\">contact us<\/a> or call\/text: <a href=\"tel:12122046300\"><span class=\"style2 redish number\">1-212-204-6300<\/span><\/a><\/strong><strong>.<\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p><strong><a title=\"Dr. Alex Shteynshlyuger\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. <strong>&nbsp;&nbsp;He has performed hundreds of penile and testicular surgeries, including testicular implants, varicocelectomy, spermatic cord denervation, adult circumcision, vasectomy, TESA, and many other procedures.&nbsp;&nbsp;<\/strong><\/p>\n<hr>\n<h1><strong>TESA (Testicular Sperm Aspiration): What You Need to Know<\/strong><\/h1>\n<p><strong> <img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-2631 size-medium\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\"><\/strong><\/p>\n<p>TESA (<strong>Te<\/strong>sticular <strong>S<\/strong>perm <strong>A<\/strong>spiration) is a procedure that is performed for men with infertility caused by <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/obstructive-azoospermia\/\"><strong>obstructive<\/strong> azoospermia<\/a>.<\/p>\n<p>TESA is appropriate in situations when there are a <strong>sufficient number of sperm<\/strong> in the testis, but they cannot get out due to <strong>obstruction<\/strong>.<\/p>\n<p>The most common situation when TESA is performed is for men with a <strong>prior vasectomy<\/strong> who need <strong>sperm for IVF (In-vitro fertilization)<\/strong>.<\/p>\n<p>Sperm obtained via TESA can <strong>ONLY<\/strong> be used for IVF.&nbsp; It <strong>cannot<\/strong> be used for IUI (intra-uterine insemination).&nbsp;<\/p>\n<p>TES<span style=\"color: #ff0000;\"><strong>A<\/strong><\/span> (<strong>Te<\/strong>sticular <strong>S<\/strong>perm <strong>A<\/strong>spiration) should <strong>not be confused<\/strong> with similarly named procedures that are performed for different reasons, such as TES<span style=\"color: #ff0000;\"><strong>E<\/strong><\/span> (<strong>Te<\/strong>sticular <strong>S<\/strong>perm <strong>E<\/strong>xtraction) or MicroTESE (microscopic TESE). TESE is usually performed for men with <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/non-obstructive-azoospermia\/\"><strong>non-obstructive<\/strong> azoospermia<\/a> (few sperm inside the testis).<\/p>\n<p>Testicular fine-needle aspiration <strong>(TEFNA)<\/strong> is a procedure similar to TESA, except it uses a smaller needle and tends to retrieve <strong>fewer<\/strong> sperm.<\/p>\n<h2>TESA Procedure at New York Urology Specialists<\/h2>\n<ul>\n<li>Typically, TESA is performed in our office under<strong> local anesthesia<\/strong>. It is possible to provide IV sedation anesthesia, but usually, it is unnecessary.<\/li>\n<li>Men&#8217;s health needs to be optimized to ensure<strong> optimal retrieval of sperm<\/strong>.&nbsp; Men with prior testosterone replacement (TRT) need to stop testosterone and transition to &#8220;sperm-safe&#8221; methods of raising testosterone levels (HCG, clomiphene, enclomiphene, etc.)<\/li>\n<li>There is no preparation necessary on the day of the procedure if it&#8217;s performed under local anesthesia.<\/li>\n<li>Local <strong>anesthetic<\/strong> is administered in the inguinal canal to provide a &#8216;spermatic cord block&#8221; which causes testicular anesthesia.<\/li>\n<li>An additional anesthetic is administered to the scrotal skin.<\/li>\n<li>The sperm is aspirated (retrieved) from the testicle with a needle.<\/li>\n<li>A dressing is applied to minimize bleeding.<\/li>\n<\/ul>\n<p>Once the sperm is retrieved, it is placed in &#8216;sperm washing media.&#8221; We typically use Irvine Scientific sperm wash media, but some IVF centers prefer other media. The patient or his partner takes the specimen to their IVF center or semen storage facility (cryopreservation). This sperm can be used fresh for IVF or frozen for future use in IVF.<\/p>\n<div>Sperm from&nbsp;<span class=\"il\">TESA<\/span>&nbsp;can only be used for IVF (cannot use it for IUI (intrauterine insemination).<\/div>\n<p>He helps men with infertility to achieve pregnancy. He is a specialist in interpreting semen analysis in men with infertility.&nbsp; He performs a testicular biopsy, MicroTESE, TESA, as well as varicocele repair.<\/p>\n<h2>How Successful is TESA?<\/h2>\n<p>Typically, 90% of the type adequate sperm can be retrieved via TESA from patients who are appropriate candidates for this procedure.<\/p>\n<p><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-697 size-full\" src=\"https:\/\/www.newyorkurologyspecialists.com\/wp-content\/uploads\/2014\/02\/urology_booknow.png\" alt=\"Book Appointment\" width=\"204\" height=\"190\"><\/a><\/strong><\/p>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/contactus\/\">contact us<\/a> or call\/text: <a href=\"tel:12122046300\"><span class=\"style2 redish number\">1-212-204-6300<\/span><\/a><\/strong><strong>.<\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #ff0000;\"><strong>Did you know?<\/strong><\/span> <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Shteynshlyuger<\/a> <\/strong>has performed <strong>over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries,<\/strong> including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie&#8217;s disease, and congenital penile curvature.&nbsp; He performs 150-200 penile surgeries a year.<\/p>\n<h2>Where to Get Testicular Sperm Aspiration (TESA) in NYC?<\/h2>\n<p>At New York Urology Specialists, we offer<strong> treatment for male-factor infertility<\/strong>.&nbsp; Same-day <strong>virtual video appointments<\/strong> and <strong>in-person<\/strong> appointments are available.<\/p>\n<p><strong><span style=\"color: #800000;\">Call\/text today: <a href=\"tel:12122046300\"><span class=\"style2 redish number\">1-212-204-6300<\/span><\/a> <\/span><\/strong><strong><span style=\"color: #800000;\"><span style=\"color: #000000;\">or&nbsp;<\/span><a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\"><span style=\"color: #0000ff;\">make an appointment<\/span><\/a>&nbsp;<span style=\"color: #000000;\">online.&nbsp;&nbsp;<\/span><\/span><\/strong><\/p>\n<p>We perform <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/\">penile procedures<\/a><\/strong>, <strong><a href=\"\/mens-health?page_id=223\">varicocele<\/a> <\/strong>and <strong><a href=\"\/mens-health?page_id=987\">hydrocele repair<\/a><\/strong>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/vasectomy-reversal\/\">vasectomy reversal<\/a>, and <strong><a href=\"\/circumcision?page_id=120\">cosmetic circumcision.<\/a> &nbsp;<\/strong>We offer treatment for missing testis, low testosterone, low sperm count, testicular pain, premature ejaculation, and male infertility. We treat sexual and <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/\">erection problems<\/a><\/strong>&nbsp;and offer <strong><a href=\"\/std?page_id=2505\">comprehensive STD testing<\/a><\/strong> for infections. We offer <strong>confidential<\/strong> appointments.<\/p>\n<p>Our <strong><a href=\"\/mens-health?page_id=81\">appointment costs<\/a>&nbsp;are affordable with or without insurance<\/strong>.&nbsp; We offer <strong>free insurance verification<\/strong>.<\/p>\n<p>We perform <a href=\"https:\/\/www.newyorkurologyspecialists.com\/services\/ultrasound\/testicular\/\">testicular ultrasound<\/a> examinations in our office.&nbsp; We offer <a href=\"\/mens-health?page_id=1008\">testosterone replacement therapy<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/vasectomy\/\">vasectomy<\/a>, <strong><a href=\"\/bph?page_id=117\">Urolift procedure<\/a><\/strong>, <strong><a href=\"\/bph?page_id=3021\">Rezum water-vapor procedure<\/a><\/strong> in our office.&nbsp; &nbsp;We treat <strong>urinary<\/strong> and <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/\">erection problems<\/a><\/strong>. We offer <strong>confidential<\/strong> appointments.<\/p>\n<h2><a href=\"\/mens-health?page_id=1394\">Read Real Stories of Men who Underwent Treatment at New York Urology Specialists.<\/a><\/h2>\n<p><strong>Read RealStories<\/strong>:&nbsp; No pregnancy after unprotected sex for 6 years in a 36-year-old man.<\/p>\n<p><strong>Read RealStories<\/strong>: &nbsp;Left hydrocele with discomfort in a 49-year-old man.&nbsp;<\/p>\n<p><strong>Read RealStories<\/strong>:&nbsp; Left varicocele with pain for over 1 year in a 36-year-old man.<\/p>\n<p><strong>Read RealStories<\/strong>:&nbsp; 32-year-old man with a missing testicle treated with a testicular implant.<\/p>\n<h2>Cost of Male Infertility Treatment without Insurance<\/h2>\n<p>At New York Urology Specialists, we offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/financial-information\/\"><strong>affordable treatment for men<\/strong><\/a>. Our&nbsp;<strong>prices are low<\/strong>&nbsp;for&nbsp;<strong>patients without insurance<\/strong>&nbsp;and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.&nbsp;<\/p>\n<p>At New York Urology Specialists, we offer <strong>flat-fee, &#8216;all-costs-included&#8217; procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more<\/strong>.&nbsp; The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.&nbsp; Please <strong>contact us for current prices and discounts for patients without insurance or with high insurance deductibles<\/strong>.<\/p>\n<h2>Cost of Treatment and Insurance<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6821 size-full\" src=\"https:\/\/www.newyorkurologyspecialists.com\/wp-content\/uploads\/2017\/06\/financial-info-no-insurance-no-problem-banner.png\" alt=\"Inexpensive Urologist Visit Cost\" width=\"348\" height=\"130\">At New York Urology Specialists, we offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/financial-information\/\"><strong>affordable treatment for men<\/strong><\/a>. Our <strong>prices are low<\/strong> for <span style=\"color: #ff0000;\"><strong>patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.&nbsp;<\/p>\n<p>We <strong>accept many health insurance plans.<\/strong>&nbsp; We would be happy to <strong>verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan&#8217;s coverage.&nbsp; <strong><a href=\"\/?page_id=2795\">Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n<h2>Why Choose New York Urology Specialists for TESA, Male Infertility Evaluation and Treatment?<\/h2>\n<ul>\n<li>All&nbsp;<strong>treatment is performed by a board-certified urologist<\/strong> experienced in treating men with male infertility, low sperm count, and idiopathic male infertility.&nbsp; We treat symptoms of erectile dysfunction, low testosterone, <a href=\"\/mens-health?page_id=1312\">scrotal and testicular problems<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/ejaculation\/pe\/\">premature ejaculation<\/a>, <a href=\"\/mens-health?page_id=1671\">testicular pain<\/a>, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.&nbsp;&nbsp;<\/li>\n<li>We are one of the few practices in the region to offer a <strong>full range of options for the treatment of <a href=\"https:\/\/www.newyorkurologyspecialists.com\/mens-health\/mens-health-clinic\/\">sexual<\/a>, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/treatment\/\">urinary<\/a>, and <a href=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/\">erection problems<\/a> in men.<\/strong><\/li>\n<li><strong>Experience<\/strong> \u2013 we see and treat many infertile men and couples. You are treated by board-certified urologists who are up-to-date on the latest advances in the field.<\/li>\n<li><strong>Freedom to Choose Reproductive Endocrinologists<span style=\"color: #333333;\">&nbsp;<\/span><\/strong>\u2013 As an independent practice, you&#8217;re not forced to use a reproductive endocrinologist for the female partner who works with us. &nbsp;You are free to choose a reproductive endocrinologist of your choosing.<\/li>\n<li>We offer<strong> treatment options for testicular pain, penile problems, male infertility, Peyronie&#8217;s disease, prostatitis, enlarged prostate, frequent urination, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/oab\/\">overactive bladder<\/a>, and prostate cancer in our office.&nbsp; <\/strong>Office procedures avoid the risks, costs, and recovery from general anesthesia.&nbsp;&nbsp;<\/li>\n<li>We offer<strong> diagnostic testing in our office, <\/strong>which avoids hospital costs.<\/li>\n<li><strong>Extensive experience:<\/strong> Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.<\/li>\n<li><strong style=\"font-size: 1em;\">Confidential and Understanding Care.<\/strong><span style=\"font-size: 1em;\"> We understand that most of our patients desire privacy. &nbsp;We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.<\/span><\/li>\n<li>We are <strong>conveniently located within a 30-60 minute commute<\/strong> to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.<\/li>\n<\/ul>\n<h2>What do Testicular Problems Look Like?<\/h2>\n<p>You can find pictures of testicular problems as well as before and after treatment images in our <strong><a href=\"\/mens-health?page_id=231\">image gallery<\/a><\/strong>.<\/p>\n<h2>Scheduling Appointments for Treatment of Infertility and TESA in Men at New York Urology Specialists<\/h2>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/contactus\/\">contact us<\/a> or call\/text: <a href=\"tel:12122046300\"><span class=\"style2 redish number\">1-212-204-6300<\/span><\/a><\/strong><strong>.<\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p><strong><a title=\"Dr. Alex Shteynshlyuger\" href=\"\/mens-health?page_id=72\">Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. <strong>&nbsp;&nbsp;He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.&nbsp;&nbsp;<\/strong><\/p>\n<hr>\n<p>ngg_shortcode_0_placeholder[patient_review_form]<\/p>\n<h2>Treatment for Men With Fast Recovery at New York Urology Specialists<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1739\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/Excellence-Urology_Care-banner2.png\" alt=\"Excellence-Urology_Care-banner2\" width=\"114\" height=\"132\">At New York Urology Specialists, our urologists are specially trained in evaluating and treating<strong>&nbsp;men&#8217;s health concerns, including infertility and low sperm problems, sexual problems, and urinary problems in men.&nbsp; <\/strong>We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem. &nbsp;<strong>We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.<\/strong><\/p>\n<p>Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis. &nbsp;<strong>We offer medical and surgical treatment for men&#8217;s sexual problems.<\/strong><\/p>\n<h2>We Treat Some of the Most Complex Men&#8217;s Health Problems Including:<\/h2>\n<ul>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/\">Erectile dysfunction in men<\/a><\/strong> for whom <strong><a href=\"\/ed?page_id=874\">oral pills do not work<\/a>.<\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/bph\/\">Enlarged prostate<\/a><\/strong><\/li>\n<li>Penile <strong>skin adhesions&nbsp;<\/strong><\/li>\n<li><a href=\"\/circumcision?page_id=2249\">Phimosis Treatment<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/pain\/\"><strong>Penile Pain During Sex<\/strong><\/a><\/li>\n<li><a title=\"Most Effective Treatment Options for ED in Men with Diabetes\" href=\"\/ed\/?page_id=73\"> Impotence in men with <strong>diabetes<\/strong><\/a>.<\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/vasectomy\/\">Vasectomy<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/ejaculation\/pe\/\">Premature Ejaculation<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/\">Prostate Cancer.<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/\">Infertility and low sperm count<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/peyronies\/\">Peyronie&#8217;s Disease<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/burning\/\"><strong>Burning during urination<\/strong><\/a><\/li>\n<li><strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/ejaculation\/pe\/\">Premature Ejaculation<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/frequent-urination\/\"><b>Frequent urination<\/b><\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/urinary-problems\/urinary-retention\/\"><strong>Urinary retention<\/strong><\/a><\/li>\n<\/ul>\n<table style=\"width: 100%; height: 331px;\" border=\"1\" cellpadding=\"10\">\n<tbody>\n<tr>\n<td bgcolor=\"#FFFF33\" width=\"65%\">\n<h3 class=\"style1\"><span style=\"color: #000080;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1691 size-medium\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/dr-alex-about-banner-large-Copy-300x176.png\" alt=\"\" width=\"300\" height=\"176\">Schedule an Appointment with Dr. Shteynshlyuger:<\/span><\/h3>\n<p class=\"style1\"><strong><span style=\"color: #800000;\">Call\/text today: <a href=\"tel:12122046300\"><span class=\"style2 redish number\">1-212-204-6300<\/span><\/a> <\/span><\/strong><strong><span style=\"color: #800000;\"><span style=\"color: #000000;\">or&nbsp;<\/span><a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\"><span style=\"color: #0000ff;\">make an appointment<\/span><\/a>&nbsp;<span style=\"color: #000000;\">online<\/span><\/span><\/strong><\/p>\n<p><span style=\"color: #000000;\"><strong><a title=\"Dr. Alex Shteynshlyuger\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/urologists\/dr-alex-shteynshlyuger\/\">Dr. Shteynshlyuger<\/a><\/strong> is a fellowship-trained, board-certified urologist with expertise in the evaluation and <strong>treatment of infertility problems in men and sexual, urinary, and erection problems in men.<\/strong>&nbsp; He uses modern, effective, and proven treatment methods.&nbsp; We offer microscopic varicocelectomy, testicular sperm aspiration (TESA), vasectomy reversal, circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie&#8217;s disease.<\/span><\/p>\n<p>He has <strong>successfully treated hundreds of men with male-factor infertility, testicular problems, low testosterone, premature ejaculation, and erection problems.&nbsp;<\/strong><\/p>\n<p><span style=\"color: #000000;\">He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\"><span style=\"color: #0000ff;\"><strong>make an appointment<\/strong><\/span><\/a>&nbsp;to take advantage of Dr. Shteynshlyuger&#8217;s expert advice.&nbsp;Please feel free to&nbsp;<strong><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/contactus\/\">contact us<\/a><\/strong>&nbsp;with any questions.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/contactus\/\">contact us<\/a> or call\/text: <a href=\"tel:12122046300\"><span class=\"style2 redish number\">1-212-204-6300<\/span><\/a><\/strong><strong>.<\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/visitors\/\">out-of-state and international patients<\/a>.&nbsp; Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/directions\/\">office hours or directions to our office<\/a>.&nbsp;<\/strong><\/span><\/p>\n<p><span class=\"style2 redish\"><strong>We offer <a href=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/appointments\/financial-information\/\">affordable appointment prices<\/a> with or without insurance.&nbsp; <\/strong><\/span><span class=\"style2 redish\">Same-day <strong>virtual video appointments<\/strong> and <strong>in-person appointments<\/strong> are available.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Testicular Sperm Aspiration (TESA) &#8211; Treatment for Obstructive Azoospermia in New York City by Alex Shteynshlyuger, MD If you have any questions, to&nbsp;schedule a consultation, please&nbsp;contact us or call\/text: 1-212-204-6300. We have excellent reviews from patients and their partners.&nbsp; Information for out-of-state and international patients.&nbsp; Find out our office hours or directions to our office.&nbsp; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-892","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Testicular Sperm Aspiration and Retrieval (TESA) - Top Specialists in NYC - Male Infertility - Treatment in NYC<\/title>\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.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Testicular Sperm Aspiration and Retrieval (TESA) - Top Specialists in NYC - Male Infertility - Treatment in NYC\" \/>\n<meta property=\"og:description\" content=\"Testicular Sperm Aspiration (TESA) &#8211; Treatment for Obstructive Azoospermia in New York City by Alex Shteynshlyuger, MD If you have any questions, to&nbsp;schedule a consultation, please&nbsp;contact us or call\/text: 1-212-204-6300. We have excellent reviews from patients and their partners.&nbsp; Information for out-of-state and international patients.&nbsp; Find out our office hours or directions to our office.&nbsp; [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/\" \/>\n<meta property=\"og:site_name\" content=\"Male Infertility - Treatment in NYC\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-11T17:00:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/\",\"name\":\"Testicular Sperm Aspiration and Retrieval (TESA) - Top Specialists in NYC - Male Infertility - Treatment in NYC\",\"isPartOf\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\",\"datePublished\":\"2021-05-13T05:24:18+00:00\",\"dateModified\":\"2023-10-11T17:00:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/#primaryimage\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\",\"contentUrl\":\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_284570099-300x200.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Testicular Sperm Aspiration and Retrieval (TESA) &#8211; Top Specialists in NYC\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/#website\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/\",\"name\":\"Male Infertility - Treatment in NYC\",\"description\":\"Just another newyorkurologyspecialists.com Sites site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.newyorkurologyspecialists.com\/infertility\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Testicular Sperm Aspiration and Retrieval (TESA) - Top Specialists in NYC - Male Infertility - Treatment in NYC","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.newyorkurologyspecialists.com\/infertility\/testicular-sperm-aspiration\/","og_locale":"en_US","og_type":"article","og_title":"Testicular Sperm Aspiration and Retrieval (TESA) - Top Specialists in NYC - Male Infertility - Treatment in NYC","og_description":"Testicular Sperm Aspiration (TESA) &#8211; Treatment for Obstructive Azoospermia in New York City by Alex Shteynshlyuger, MD If you have any questions, to&nbsp;schedule a consultation, please&nbsp;contact us or call\/text: 1-212-204-6300. 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