Ahmedabad's Best Women Hospital

Testicular sperm Extraction & percutaneous epididymal sperm aspiration

These treatments are for men who have no sperm in their ejaculation.

Male infertility is not always about sperm abnormality, low sperm count, or a small number of sperm. Sometimes it can be the absence of sperms in the semen. The surgical sperm retrieval procedure is a savior for men who have no sperm in their ejaculation. Several factors contribute to this absence; it can be some medical condition or an injury.

Most men think they can’t experience fatherhood, but it is easy to treat this condition with advanced fertility treatments. PESA/TESE are procedures to extract sperm directly from the male body to be used in fertility treatments.

What is PESA/TESE?

PESA: – Percutaneous Epididymal Sperm Aspiration is a procedure in which a needle is inserted into the epididymis, and the semen is extracted. Later, sperm is extracted from the semen to be used in the IVF process.

TESE: – Testicular Epididymal Sperm Extraction is a surgical procedure in which a small piece of testicular tissue is obtained from which sperm is extracted for the IVF process.

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When recommended?

  1. Vasectomy: –In cases where the male has had a vasectomy can opt for these procedures.
  2. Failed vasectomy reversal: – There are times when vasectomy reversal does not work out. PESA/TESE can be a savior in such cases.
  3. An absence of the vas deferens: –Vas deferens carry sperm from the testicle to the urethra; in some scenarios, these are absent in men. These procedures are ideal for cases like this.
  4. Blockages anywhere along the seminal tract: – Blockages in the seminal tract can restrict can cause low sperm production. In such cases, these procedures can help.
  5. Problems arising from injury or infection: – Some injuries or infections can cause the absence of sperms in the semen. These procedures can help to extract semen directly.

The procedure

PESA: –

  1. With anesthesia, a needle is inserted into the epididymis to extract the semen.
  2. After that, the sperms are extracted from the semen sample.
  3. The sperms are examined to find any abnormalities.
  4. After examining and eliminating those with abnormalities, healthy sperms are chosen for the process of fertilization.

TESE: –

  1. With anesthesia, a small piece of testicular tissue is obtained.
  2. Later, sperms are extracted from that tissue.
  3. The sperms are examined to find any abnormalities.
  4. After examining and eliminating those with eliminating, healthy sperms are chosen for the process of fertilization.

Our Team of Experts.

Success rate

The success rate of PESA/TESE is similar to IVF or ICSI process as it is a part of them.

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Benefits

PESA/TESE can be beneficial for those men who have been through an injury or don’t have the vas deferens, which carry sperm from the testicle to the urethra. Failed vasectomy reversal is also a condition in which these procedures can be of great help.

Risk & Side effects

PESA does not come with any side effects as it is not a surgical procedure. TESE might cause irritation in some cases, but proper guidance is enough to overcome those.

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