Male Fertility & Sexual Medicine Specialists (MFS) is the San Diego reproductive urology and andrology practice founded by Martin Bastuba, MD, FACS. Unlike a SART-member reproductive endocrinology (REI) clinic that runs IVF cycles, MFS focuses exclusively on the male side of the fertility workup — microsurgical reconstruction, surgical sperm retrieval, and the treatment of sexual-medicine conditions that frequently accompany a male-factor diagnosis. Patients on Google currently rate the practice 4.8 stars across 103-plus reviews.
About the Physician
Martin Bastuba, MD, FACS — NPI 1790769016, urology taxonomy 208800000X — completed his undergraduate and medical education at Wayne State University in Detroit, followed by a general urology residency at the Emory University Affiliated Hospitals in Atlanta. He was the first resident physician accepted into Boston University School of Medicine's combined fellowship program in male fertility and male sexual dysfunction, and opened his San Diego practice in 1993. He is board certified by the American Board of Urology and a Fellow of the American College of Surgeons. Dr. Bastuba holds a clinical instructor appointment at the UC San Diego School of Medicine and has served as president of both the San Diego Reproductive Endocrine Society and the San Diego Urologic Society. His peer-reviewed publications appear in Fertility and Sterility, Journal of Urology, Urology, Journal of Sexual Medicine, and Asian Journal of Andrology, covering topics from assisted reproduction in exstrophy/epispadias patients to penile revascularization and erectile-dysfunction pharmacology.
Practice Focus
MFS treats male-factor infertility and male sexual medicine as an integrated clinical discipline. The practice sits within the roughly 2% of board-certified U.S. urologists who hold dedicated fellowship training in male reproductive microsurgery and andrology, and it sees patients from across the country for procedures that a general urology office typically does not perform at volume.
Services Offered
- Microsurgical varicocelectomy — subinguinal repair using operating-microscope magnification to preserve testicular artery and lymphatics
- Vasectomy reversal (vasovasostomy and vasoepididymostomy) — microsurgical reconstruction, performed by Dr. Bastuba 2–3 times per week
- Surgical sperm retrieval — TESA, TESE, micro-TESE, and MESA for obstructive and non-obstructive azoospermia, coordinated with REI partners for same-day IVF/ICSI
- Oncofertility sperm retrieval and cryopreservation — pre- and post-chemotherapy preservation
- Testicular mapping and diagnostic biopsy
- Peyronie's disease — intralesional collagenase (Xiaflex) and surgical correction
- Erectile dysfunction — oral agents, injections, and penile revascularization
- Male hypogonadism and hormone management — testosterone, hCG, and fertility-preserving alternatives to exogenous testosterone
- Genetic testing for Y-chromosome microdeletion, CFTR, and karyotype
What This Practice Is NOT
MFS is not a SART-member REI clinic. It does not perform ovarian stimulation, egg retrieval, embryology, or embryo transfer, and it does not report cycle outcomes to SART or CDC ART. Couples who need IVF with ICSI use MFS for the surgical sperm retrieval or male-factor diagnostic workup, then partner with a reproductive endocrinologist who coordinates the female side of the cycle.
San Diego REI Partnership Pathways
For IVF/ICSI coordination, San Diego patients most often pair MFS with Reproductive Partners Medical Group (San Diego), San Diego Fertility Center, HRC Fertility San Diego, IVF Center San Diego (ICSD), or UC San Diego Reproductive Endocrinology. Dr. Bastuba's team commonly schedules micro-TESE or MESA on the same morning as the partner's egg retrieval.
California Insurance Context
California's SB 729, which took effect January 1, 2026, requires most large-group plans regulated under California law to cover a defined set of fertility services, including IVF. Coverage of reproductive urology procedures varies — some fall under general surgical benefits, others under fertility benefits, and self-insured ERISA plans remain outside the SB 729 mandate. Verify microsurgical coverage, anesthesia, and lab cryopreservation fees separately before scheduling. Our 2025 state-by-state insurance overview summarizes California and neighboring states.
Patient Experience
A 4.8-star average across 103-plus Google reviews is unusually high for a surgical subspecialty practice. Reviewers consistently cite Dr. Bastuba's willingness to spend time on diagnostic questions, clear pre-operative education for vasectomy reversal and varicocelectomy candidates, and responsive follow-up from the MFS coordinators after surgery.
When to Consult
Consider MFS if semen analysis shows azoospermia, severe oligospermia, or morphology/motility abnormalities; if you have a palpable varicocele; if you are considering vasectomy reversal; if you have been diagnosed with Peyronie's disease or treatment-resistant ED; or if you are planning fertility preservation before cancer therapy. Building a baseline through our preconception health guide is a reasonable first step while waiting for a consultation.
Location & Contact
Male Fertility & Sexual Medicine Specialists 6699 Alvarado Road, Suite 2208 San Diego, CA 92120 Phone: (619) 286-3520 Hours: Monday–Friday, 8:30 AM – 5:00 PM
Frequently Asked Questions
Is microsurgical varicocelectomy superior to non-microsurgical repair? Peer-reviewed comparative data from ASRM-affiliated research groups shows lower recurrence and hydrocele rates with microsurgical subinguinal technique versus laparoscopic or retroperitoneal approaches, which is why it is the standard of care at fellowship-trained male-fertility practices.
Does vasectomy reversal or micro-TESE give better results for a man who wants IVF? It depends on the time since vasectomy, partner age, and patency findings. For couples in which the female partner is under 37 with no other fertility factors, reversal is often more cost-effective; for older couples or those with additional female factors, micro-TESE plus IVF/ICSI through a SART-member IVF program is frequently chosen. Dr. Bastuba discusses both pathways at consultation.
How does MFS coordinate with IVF clinics? Surgical sperm retrieval is scheduled to match the partner's egg retrieval day. MFS staff coordinate transport of fresh or cryopreserved sperm to the partner REI lab and communicate pathology findings back to the reproductive endocrinologist.
For San Diego patients evaluating the full male-side workup alongside female-factor treatment, our directory of California fertility clinics and the IVF treatment guide provide complementary context.
Editorial note: Independently written by the Fertlo editorial team; not sponsored. See our editorial policy.