Sperm Retrieval Treatment in Chennai – TESA, PESA, MESA

Sperm Retrieval is a surgical treatment that extracts sperm from a man’s reproductive system’s testicular tissue. If a male is unable to release or produce healthy sperm naturally, a doctor may prescribe a Sperm Retrieval operation. The testicular tissue may be found in the two testes that produce sperm. The testes are located within the scrotum, a tiny sac behind and under the penis. The Sperm Retrieval method is most commonly used to treat male infertility. In Vitro Fertilization (IVF) or Intra Uterine Insemination (IUI) treatments are performed with the recovered sperm.
To undertake Sperm Retrieval treatments at PSFC, we have Dr. Chandru, a well-known Andrologist and skilled infertility specialist.

Indications for sperm retrieval

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

A blockage inhibiting sperm release due to damage or illness.
Absent Vas deferens from birth (men born without the tube that drains the sperm from the testicle)
Vasectomy
Non-obstructive azoospermia (the testicles produce insufficient sperm to reach the vasculature)
Procedures for Sperm Retrieving

The basic purpose of the sperm retrieval method is to obtain the highest quality and number of sperms possible. The reproductive tract can produce sperm in a variety of ways. It is taken extra precautions to prevent causing any damage to the reproductive tract.

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

Testicular Fine Needle Aspiration (TESA) is another name for TESA (TFNA). Azoospermia is diagnosed or treated using TESA. It’s also capable of extracting sperm from the testicles. It’s usually done in a clinic or hospital using a nerve block. A tiny needle is injected into the skin and testis to carefully extract sperm during this process. There are no more cuts required.

Testicular Sperm Extraction (TESE)

This treatment is only performed in vitro fertilization (IVF) with ICSI. This procedure, performed under local anesthesia, involves taking sperm directly from the testicles using a very fine needle. This technique is used when there is a complete absence of spermatozoa in the ejaculate or epididymis, but the testes continue to produce spermatozoa.

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Percutaneous Epididymal Sperm Aspiration (PESA)

A technique that, like TESA, may be repeated multiple times at a minimal cost and without a surgical cut. PESA is used to treat obstructive azoospermia in particular. It does not necessitate the use of a high-powered microscope. PESA can be performed under either local or general anaesthesia. The doctor carefully removes fluid from the epididymis using a needle linked to a syringe. When sperm do not come out during the PESA process, a surgical operation is required.

This procedure is performed in case of obstruction of the vas deferens. Most often, this involves collecting spermatozoa which are then analyzed in one of our sperm analysis testing centres. Only the healthiest of them are used for IVF with micro-injection.

Microsurgical Epididymal Sperm Aspiration (MESA)

MESA is a fairly safe sperm retrieval method. Men with vassal or epididymal blockage (s/p vasectomy, congenital bilateral lack of the vas deferens) undergo MESA. It is either done on a scheduled basis or in conjunction with the egg retrieval of their female spouse. A surgical microscope is used in the MESA technique to assist collect sperm from the epididymis tubes. It is carried out under general anaesthesia in the operating room. MESA can extract a large amount of healthy sperm that may be preserved and stored for later use. In comparison to sperm retrieval procedures, MESA enables for a larger quantity of mature sperm. It is the recommended method of retrieval for males with congenital bilateral vas deferens absence since it has no effect on testis steroid production.

After the Sperm Retrieval Procedure, Take These Precautions
The time it takes to recover following sperm retrieval is determined on the procedure utilized. The recovery period might last anything from a few days to a week. In 24 to 48 hours, most men may return to work. Returning to intense labor, however, takes 5 to 10 days.
For a few days, men should avoid intense activity.
The patient must take his or her medications on a regular basis as directed by the doctor.
Men may endure bruising, pain, infection, and discomfort, although these symptoms are only transitory.