Surgical Sperm Retrieval (TESA/TESE/PESA)

During the process of ejaculation by a male partner, even if there is the production of seminal fluid, sometimes a semen analysis test can reveal the absence of sperm. Though there might be a production of sperm which is indicated by the presence of fructose, there might be some blockages in tubes or other reasons due to which the sperm might not be present in the ejaculation. This might be one of the primary reasons for male infertility. However, there is no need to worry as you can still conceive through a procedure named the Sperm Retrieval Procedures (SRP) which the sperm can be retrieved from their site of production, ie., the testis. TESA, TESE, and PESA are the different methods of SRP.

Want to get a Surgical Sperm Retrieval in Kolkata? Firstly, know about the procedures related to it. TESA (Testicular sperm aspiration) is a method of TESE (Testicular sperm extraction) in which a needle is inserted into the testis, and a fluid is drawn out by drawing out by a vacuum. Once the extracted sperm cells are used for ICSI (Intracytoplasmic sperm injection), the sperm is directly injected into the egg and left in a petri dish.

PESA (Percutaneous Epididymal Sperm Aspiration) is a no surgical incision method in which the fluid is extracted by passing a small needle through the skin of the scrotum directly into the head of the epididymis.

How can sperm be retrieved?

Getting the SRP done at an infertility clinic in Kolkata depends on whether there is an obstruction in the absence of sperm in semen or not.

  Methods employed when there is an obstruction

1. Testicular Sperm Aspiration (TESA) The fluid containing sperm is pulled through a needle from the testis.

2. Percutaneous Epididymal Sperm Aspiration (PESA) In this case, the needle is inserted into the epididymis to extract the sperm

3. Percutaneous Biopsy of the Testis (Perc biopsy) Similar to TESA but a larger amount of sperm sample is extracted with a large needle.

4. Microsurgical Epididymal Sperm Aspiration (MESA) An open surgery in which the tubules in the epididymis are located, this method is used to retrieve the largest sperm samples and also produces more motile sperm.

Dr. Amitoj Athwal is one of the best gynecologists in Kolkata. With more than 10 years of professional experience, she can be your go-to doctor for Surgical Sperm Retrieval in Kolkata.