Surgical Sperm Recovery
Men who have no sperm in the ejaculate may undergo a direct sperm aspiration from the epididymis or testis These are different procedures to retrieve sperms from the male testes and epididymus ,if no sperms are found in semen sample. These retrived sperms are used for IVF /ICSI. Both these procedures should to be coordinated with their female
P.E.S.A: (Percutaneous Epididymal Sperm Aspiration):
P.E.S.A is a procedure performed for men who have obstructive azoospermia from either a prior vasectomy or infection. In this procedure, a needle is inserted into the epididymis and sperm is withdrawn. It is done under local anesthesia in the OT .
T.E.S.A: (Testicular sperm aspiration):
If sperm cannot be found in the epididymis( PESA), TESA is used to extract sperm from testicular tissue, and the needle is inserted directly into the testis. This procedure is performed on the male under local anesthesia in the OT. In this procedure a needle is inserted directly into the testicles and the tissue or sperms are aspirated from there. TESA is performed for men with obstructive azoospermia. TESA at times may not provide enough tissue or sperms and an open testis biopsy may be required.