TESA, or Testicular Sperm Aspiration, is a pioneering sperm retrieval technique primarily for men with Azoospermia, a condition where sperm is absent in their ejaculate. TESA is employed in obstructive Azoospermia, where blockages prevent sperm from reaching the semen. This technique, coupled with intracytoplasmic sperm injection (ICSI), has expanded the possibilities for men facing azoospermia and offers an avenue to parenthood when sperm cannot be retrieved from the epididymis.
PESA, Percutaneous epididymal sperm aspiration is a procedure done under local anesthesia where the contents are aspirated from epididymis and examined for presence of sperms under microscope. It is a simple, quick procedure which can avoid open surgery.
Though microsurgical procedures are time consuming and needs expert doctors specially trained in microsurgeries, they offer higher chances of sperm retrieval with precise identification of tissues. We are proud to announce that we are the only centre in AP offering microsurgical techniques under operating microscope done by our qualified andrologist.
MESA, microsurgical epididymal sperm aspiration, is a precise blood free aspiration of spermatic fluid from the epididymal ductule. It is done by our highly skilled microsurgeon under operating microscope. Patient can be sent home early with painless microsutures.
Microsurgical testicular sperm extraction is a procedure where less tissue is removed with less testicular damage. Seminiferous tubules are separated and examined under operating microscope for sperms after biopsy.
There is improved chances of finding sperms in cases of focal spermatogenesis.
Spinal anesthesia is administered to ensure patient comfort during Testicular Sperm Extraction (TESE) procedures.
Testes is exposed by midline incision and the seminiferous tubules are separated and examined meticulously under operating microscope.
Healthy seminiferous tubules are biopsied for sperm extraction
ICSI, a fertilization procedure, is then employed to inject the collected sperm directly into the egg and facilitate fertilization.
In Non obstructive Azoospermia cases where needle aspiration biopsies fail to identify sperms, micro- TESE is the ultimate option. But undergoing repeated failed attempts in non microsurgical procedures, then followed by decision for Micro TESE is not cost effective, frustrating and time consuming. Consultation with a proper trained Andrologist gives you a proper decision on which surgical procedure is best for the patient.
Whether it's TESA to directly aspirate sperm from the testis, TESE for a surgical extraction, PESA to obtain sperm from the epididymis, Micro-TESA for precision sperm retrieval to enhance sperm quality, we ensure that each procedure is best performed to maximize the chances of successful fertilization and ultimately, parenthood. At Kushi Fertility, we are dedicated to providing cutting-edge solutions for male infertility, personalized to each patient's unique needs.