Performed by Dr. Y. Pramoda Reddy at Dr. Y. Pramoda Reddy Fertility Specialist in Kadapa
TESA/PESA (Testicular/Percutaneous Epididymal Sperm Aspiration) surgical sperm retrieval in Kadapa is a minimally invasive procedure to extract sperm directly from the testicles or epididymis for men with azoospermia or obstructive reproductive conditions. These advanced techniques enable biological fatherhood when sperm cannot be found in ejaculate. Dr. Y. Pramoda at Mathrusri IVF Clinic offers expert surgical sperm retrieval with personalized fertility treatment plans.
We believe in honest, upfront disclosure so you can make an informed decision.
A step-by-step look at what happens during this procedure.
Local anaesthesia is applied to numb the scrotal area, or general anaesthesia may be used based on patient comfort and procedure complexity.
A fine needle is inserted through the scrotal skin into the epididymis to aspirate fluid containing sperm. Multiple aspirations may be performed to maximize sperm collection.
If PESA is unsuccessful, a needle is inserted directly into the testicular tissue to extract sperm from the seminiferous tubules where sperm production occurs.
The retrieved tissue or fluid is immediately examined under microscope by embryologists to identify viable sperm for cryopreservation or immediate IVF/ICSI use.
The aspiration site is cleaned and dressed. Patients receive pain management instructions and are monitored briefly before discharge with recovery guidelines.
A structured, patient-first approach from first consultation to full recovery.
Dr. Y. Pramoda conducts thorough hormonal analysis, semen analysis, and genetic screening to determine the most appropriate sperm retrieval technique for each patient's specific condition.
Mathrusri IVF Clinic utilizes state-of-the-art microscopy and cryopreservation technology to identify, process, and preserve retrieved sperm with maximum viability for ICSI procedures.
Our team synchronizes sperm retrieval timing with partner's egg retrieval cycle, ensuring optimal fresh sperm availability or maintains cryopreserved backup for flexible treatment scheduling.
We provide detailed post-procedure care instructions, pain management protocols, and 24/7 access to our medical team for any concerns during the recovery period.
What to expect at each stage of your recovery journey.
Rest for 1-2 hours in recovery area with ice pack application to reduce swelling. Mild discomfort and scrotal tenderness are normal. Avoid strenuous activities for 24 hours.
Continue wearing supportive underwear, apply cold compresses as needed, and take prescribed pain medication. Avoid heavy lifting, exercise, and sexual activity. Most patients return to desk work within 2-3 days.
Complete healing occurs within 1-2 weeks. Resume normal physical activities gradually. Follow-up appointment to discuss sperm analysis results and plan subsequent IVF/ICSI treatment cycle.
85-95% of men with obstructive azoospermia have successful sperm retrieval. Even in non-obstructive cases, 40-60% achieve viable sperm extraction for ICSI fertilization.
Retrieved sperm can be used immediately for ICSI or cryopreserved for future cycles, enabling men with zero sperm count in ejaculate to have genetically-related children.
TESA/PESA procedures leave no visible scars, require minimal recovery time, and can be repeated if necessary without significant impact on testicular function.
Successfully retrieved sperm integrates seamlessly into comprehensive IVF/ICSI protocols, with fertilization rates comparable to conventional methods when healthy eggs are available.
Let's clear up some of the most common myths about tesa/pesa (surgical sperm retrieval).
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