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PESA - TESA(Microsurgeries) Treatments

Percutaneous epididymal Sperm Aspiration (PESA)

Sperm can be collected from the region above the testis called the epididymis in some circumstances for men with zero sperm count (azoospermia), such as in cases of congenital absence of the vas deferens — a disease in which both the tubes delivering sperm to the outside are absent at birth. Our experienced andrologist's sperm can then be utilised to inject the wife's oocytes via ICSI, assisting the couple in having their own biological offspring. Pregnancy rates with PESA – ICSI at our centre are in the range of 34% every cycle, with take-home baby rates in the range of 27% per cycle.

For some patients with azoospermia, sperm can be extracted directly from the testes using a fine needle extraction method; immature sperm can then be developed in vitro and injected into the wife's oocytes by ICSI to achieve a successful pregnancy and livebirth. Patients can also expect a 25–20 percent take-home baby rate with this groundbreaking procedure.

The Procedures Involved in ICSI

  • A customised holding pipette is used to hold the mature egg.
  • To immobilise and pick up a single sperm, a highly fine, pointed, and hollow needle is employed (which has been retrieved from the epididymis or testicle by PESA or TESA respectively).
  • After that, the needle is delicately put into the egg's zona (shell) and into the cytoplasm.
  • The needle is gently removed once the sperm is introduced into the cytoplasm. The next morning, the eggs are examined for signs of proper fertilisation.
  • The embryo is then transferred.

Hira Fertility in Hyderabad offers TESA and PESA IVF, which is a procedure of retrieving sperm from a man's testis when he has a low sperm count. It is a cost-effective therapy.

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