PESA/TESA

Percutaneous Epididymal Sperm Aspiration

Percutaneous Epididymal Sperm Aspiration (PESA) is a procedure where cells from the epididymis are collected. The procedure is done by inserting a needle through the scrotum and into the epididymis.

This process is done to collect sperm cells that have not yet been ejaculated, which can be useful in cases where a man has had an obstruction in his vas deferens.

This technique can also be used to retrieve sperm in men who have had vasectomy reversal, or who have had previous testicular cancer treatment. It also can be used to retrieve sperm from men with epididymitis or testicular torsion.

The procedure can be performed under local anesthesia, and it is typically used when there are obstructions to the vas deferens or when a vasectomy has been performed.

What is the goal of Percutaneous Epididymal Sperm Aspiration (PESA)?

The goal of this procedure is to help men who are unable to produce sperm due to testicular failure, obstructions in the reproductive tract, or other causes.

The two main techniques for performing an epididymal sperm aspiration are trans-scrotal and percutaneous. Trans-scrotal technique can be done under local anesthesia with sedation or general anesthesia, while percutaneous technique is typically done under local anesthesia only.

What are the Different Types of PESA Procedures?

PESA procedures can be used to treat various types of conditions. They are different from other surgical procedures in that they do not require the surgeon to make an incision in the patient’s body.

There are two types of PESA procedures:

  1. Non-surgical PESA
  2. Surgical PESA

The treatment is done by inserting a needle into the epididymis, which is the coiled tube on the back and upper side of each testicle. The needle is guided with ultrasound or other imaging and then deposits sperm into the testicle so that it can be used for in vitro fertilization or artificial insemination.

The procedure can be done under local anesthesia and takes about 10 minutes to complete.

Percutaneous Epididymitis Treatment Options

The treatments available for Percutaneous Epididymitis are:

  • Antibiotics
  • Surgery
  • Surgical ligation

The most common treatments are antibiotics and steroid injections. Antibiotics are given to stop the inflammation caused by percutaneous epididymitis, while steroid injections reduce inflammation and swelling in the testicles. However, these treatments do not provide a permanent cure for this condition.

Need to perform Percutaneous Epididymal Sperm Aspiration

Percutaneous epididymal sperm aspiration can be used as a last resort if no other methods of harvesting semen have worked.

As an alternative for men who produce no or very few sperm, percutaneous epididymal sperm aspiration (PESA) may be performed with a needle and syringe. The needle is inserted into the side of the testicle and guided through to the epididymis. The syringe is then used to aspirate some of the fluid from this area containing mature sperm cells. These cells are then injected into the woman’s uterus using a catheter. 

Percutaneous Epididymal Sperm Aspiration and the Benefits It Provides

Percutaneous epididymal sperm aspiration, or “PESA” procedure can be used for in vitro fertilization (IVF) or for intracytoplasmic sperm injection (ICSI).

The benefits of this procedure include: 

  • Being a less invasive and more cost-effective alternative to other methods of retrieving sperm. 
  • It also provides an opportunity for men who are unable to ejaculate due to certain medical conditions. 
  • It can be used on patients who have had vasectomies or who have had testicular cancer surgery and need sperm for IVF.
  • It also avoids the need for a general anaesthetic, so it is less risky than other methods of retrieving sperm.

The procedure provides a source of sperm for men who have:

  • poor sperm quality
  • sperm with low motility
  • sperm with low count
  • male infertility
  • varicocele

Percutaneous Epididymal Sperm Aspiration and Its Management Options for Patients

Percutaneous Epididymal Sperm Aspiration has a high success rate in retrieving sperm and its complication rates are low. The success rates of this procedure depend on patient factors like age, fertility status, and cause of infertility.

It is typically done by a urologist. The doctor will use an ultrasound to locate the area where the sperm are located and then they will use a needle to extract them.

Some patients may experience pain and discomfort for a few days after the procedure but it should not last for more than a week.

This procedure is usually performed in cases where a man has had an obstruction or surgery on his vas deferens. This can be done to help with fertility treatments, as well as to help with diagnosis.

6 Facts You Need to Know About the Sperm Aspiration Procedure 

1) The sperm aspiration procedure is done by inserting a needle through the scrotum or through the urethra and into the epididymis (the coiled tube at the back of each testicle).

2) The needle is then used to draw out fluid containing sperm cells from the epididymis.

3) If a man has had a vasectomy, this fluid will be collected from both testicles and then drawn into a syringe for use in artificial insemination procedures.

4) It can be performed on men who have an obstruction in their urethra, which prevents them from ejaculating naturally.

5) It’s also performed on men who have retrograde ejaculation, which means that semen enters the bladder rather than exiting through the urethra.

6) In some cases, it may be used to collect sperm following vasectomy surgery if they’ve had difficulties with fertility and want to have another child.

Get PESA Procedure at Risaa IVF

In nutshell, PESA procedure is a type of assisted reproductive technology that can be used to help with problems in the sperm production. It is a useful treatment for men with certain types of male infertility.

The goal of this procedure is to increase your chances of getting pregnant by increasing your chances of having at least one fertilized egg.

Risaa IVF is the best place to get PESA procedure done. The clinic offers a wide range of fertility treatments, including IVF, ICSI and PGD. We offer these treatment options at affordable rates. Our team of experts ensures that your experience is hassle-free and that you are satisfied with the services provided to you.

If you want to go with PESA procedure, call us today to book your consultation.

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