PESA (Percutaneous Epididymal Sperm Aspiration) and TESA (Testicular Sperm Aspiration) are two methods used for surgical sperm aspiration. Surgical sperm aspiration is a treatment that is recommended for men with azoospermia.

Azoospermia is a condition where there is complete absence of any sperm in a man’s semen. Men with azoospermia can father a child through intra-cytoplasmic sperm injection if sperm can be recovered from their epididymis or testis.

TESA and PESA are recommended to a couple when the male partner is facing the following issues:

• Men with Azoospermia.
• Vasectomy
• Failed vasectomy reversal
• An absence of the vas deferens
• Blockages somewhere along the seminal tract, i.e. obstructive   azoospermia
• Any problem arising from injury or infection.
• Very low sperm count, i.e. non-obstructive azoospermia

At ICON IVF, the best fertility centre in Nandyal, our expert team of fertility specialists recommend several percutaneous and open surgery procedures for the sperm retrieval. In men who are suffering from Obstructive azoospermia, epididymal sperm retrieval is performed by PESA.

In PESA, our fertility experts will collect the sperm from epididymis inside the scrotum using a syringe and fine needle and a procedure of ICSI is performed to inject the sperm into the egg.

In TESA, the fertility doctors at ICON IVF will directly retrieve the sperm from testicles using needle aspiration biopsy (NAB). We, at ICON IVF recommend this procedure for men with non-obstructive azoospermia as there is no sperm in the epididymis.

The advantage of these two procedures is that the patient can get beack to normal life in 4-5 days. However, we advise you to wear a scrotal support for 48 hours to protect the scrotum and testes.
The patient might experience mild discomfort, including pain, tenderness, infection and cloudy discharge.

Our embryologist at iCon fertility centre uses advanced techniques to obtain better success rates. IMSI (Intracytoplasmic Morphologically selected Sperm Injection) is used to select better sperm.

Other advanced methods such as calcium to activate the egg and sperm activation agents are also used to improve the outcome. Our embryologist has been trained in all the latest techniques to optimise the outcome for our patients.

To get the best TESA/PESA treatment for your male infertility, book an appointment with the best fertility specialists in Nandyal, at iCon fertility clinic.