Surgical Sperm Retrieval TESA TESE PESA MESA

SPERM RETRIEVAL – TESA, PESA, MESA

Sperm Retrieval is a surgical procedure in which sperm is directly taken from the testicular tissue of a man’s reproductive system. Doctor recommends Sperm Retrieval procedure if a man is unable to release or make healthy sperm naturally. The testicular tissue is found in the two testes where the sperm is made. The testes are found inside the scrotum which is the small sac behind and under the penis. Sperm Retrieval procedure is mainly used for the treatment of male infertility. The retrieved sperms are used in either In Vitro Fertilization (IVF) or Intra Uterine Insemination (IUI) treatment.

Our IVF center in Andheri, has well experienced and skilful Infertility specialist doctor to perform Sperm Retrieval procedures. We provide comprehensive and highly individualized fertility care in assisted reproductive technology (ART). We also make most effective and suitable treatment plans as per the patient’s disease. Dr. Rita Modi an Infertility specialist in Andheri, ensures that all of our patients receive the same highest level of care.

Need of Sperm Retrieval  

Surgical sperm retrieval is an effective treatment option for men suffering from diseases such as:

  • An obstruction preventing sperm release due to injury or infection.
  • Congenital absence of the vas deferens (men born without the tube that drains the sperm from the testicle)
  • Vasectomy
  • Non-obstructive azoospermia (The testicles are producing low numbers of sperm that they don’t reach the vas)

Male Infertility

Male Infertility is caused by a condition known as Non-obstructive Azoospermia and Obstructive Azoospermia.

  • In Non-obstructive Azoospermia, man does not produce sperm.
  • In Obstructive Azoospermia, man produces sperm but it is blocked and don’t releases from the body.

Male infertility is diagnosed with the help of various tests such as Semen analysis, Blood test, Culture exam and Ultrasound of the scrotum. These male fertility tests are helpful to determine amount of semen, sperm count, morphology and sperm motility.

Sperm Retrieval Procedures

The main goal of sperm retrieval procedure is to get best quality and maximum number of sperms. There are many ways to get sperm from the reproductive tract. A special care is taken to avoid any hurt to the reproductive tract. Major sperm retrieval procedures include:

  • Testicular Sperm Aspiration (TESA)
  • Percutaneous Epididymal Sperm Aspiration (PESA)
  • Microsurgical Epididymal Sperm Aspiration (MESA)

Testicular Sperm Aspiration (TESA)

 TESA is also sometimes called as Testicular Fine Needle Aspiration (TFNA). TESA is mainly used to diagnose or treat Azoospermia. It can also be used to collect sperm from the testicles. It’s often done with a nerve block in the clinic or hospital. In this procedure, a thin needle is inserted in the skin and testis to gently pull out sperm. No other cuts are needed.

Percutaneous Epididymal Sperm Aspiration (PESA)

 Just like TESA, a PESA procedure can be done many times at low cost and without a surgical cut. PESA is especially performed for obstructive Azoospermia. It doesn’t need a high-powered microscope. PESA is done under local or general anesthesia. The doctor sticks a needle attached to a syringe into the epididymis to gently remove fluid. In PESA procedure, sperm sometimes do not come out so in this case, a surgical procedure is needed.

Microsurgical Epididymal Sperm Aspiration (MESA)

MESA is a very safe procedure to retrieve sperms. MESA is performed for men who have vasal or epididymal obstruction (s/p vasectomy, congenital bilateral absence of the vas deferens). It is either done as a scheduled procedure or is coordinated with their female partner’s egg retrieval. MESA procedure uses a surgical microscope to help retrieve sperm from the epididymis tubes. It is performed in the operating room under the general anesthesia. MESA can retrieve lots of healthy sperm which can be saved and frozen for future use. MESA allows for an extensive collection of mature sperm as compared to sperm retrieval techniques. It is the preferred method of retrieval for men with congenital bilateral absence of the vas deferens as it does not impact steroid production of the testis.

Precautions after the Sperm Retrieval Procedure

  • Recovery after the sperm retrieval is depending on the method used. Recovery time is ranging from a few days to a week. Most men can return to office work in 24 to 48 hours. But it takes 5 to 10 days to return to heavy work.
  • Men should strictly avoid strenuous activities for few days.
  • Patient should regularly take medicines as per the prescription.
  • Men can experience bleeding, pain, infection and discomfort but all these are temporary.

Cost of the Sperm Retrieval Procedure

The cost of sperm retrieval depends on a various things including

 

  • Type of procedure
  • Location of the clinic or hospital
  • Duration of the procedure
  • Whether sperm are being used fresh or will be frozen for later use

Our IVF center in Andheri, is providing the most advanced reproductive medicine and fertility services to every patient. Dr Rita Modi an Infertility specialist in Andheri, has an outstanding medical expertise and provides cutting-edge fertility treatments as well as individualized attention to the patient’s mental and physical well-being. Our main goal is to improve the probability of pregnancy and the birth of healthy babies.

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