PESA

Percutaneous Epididymal Sperm Aspiration (PESA) is a minimally invasive surgical procedure used to retrieve sperm from the epididymis, a small organ located on the testicles that store and transports sperm. This procedure is commonly used as a treatment option for men who have obstructive azoospermia, a condition in which sperm production is normal, but the sperm are blocked from being ejaculated.

During the procedure, the patient is placed under local anaesthesia, and a small needle is inserted into the epididymis through the scrotal skin. The needle is used to aspirate (suck out) fluid and tissue from the epididymis, which is then examined under a microscope to identify sperm. The retrieved sperm can then be used for in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI), both of which are assisted reproductive techniques that can help couples conceive. PESA is a minimally invasive procedure that has a low risk of complications. Most patients are able to resume their normal activities within a few days of the procedure, although strenuous physical activity and sexual intercourse should be avoided for at least a week. The success rate of PESA depends on various factors such as the underlying cause of infertility, the quality and quantity of the retrieved sperm, and the success of the assisted reproductive techniques used in conjunction with PESA.

PESA can be a viable option for men who have obstructive azoospermia and wish to start a family. It is important to note, however, that PESA does not address the underlying cause of the obstruction, and in some cases, the obstruction may be irreversible. Additionally, PESA does not address male infertility caused by low sperm count or poor sperm motility. Men interested in PESA should consult with a fertility specialist to determine if it is the right treatment option for them. PESA is a minimally invasive surgical procedure that can help men with obstructive azoospermia achieve their goal of fatherhood. The procedure is safe, effective, and has a low risk of complications. However, it is important to note that PESA is not a cure for all forms of male infertility and is most effective when used in conjunction with assisted reproductive techniques such as IVF or ICSI. If you are experiencing infertility, it is important to seek professional medical advice and explore all available treatment options to determine the best course of action for you.