What is Testicular / Epididymal Sperm Aspiration or Extraction (TESA)?

Until recently, there was no treatment for men with absence of sperm in the semen. Absence of sperm in semen could be due to blockage, congenital, or due to certain medical issues. With the introduction of TESA, sperm can be obtained from men suffering azoospermia.

TESA or Testicular Sperm Aspiration involves placing a needle attached to a syringe through the scrotal skin and sucking the fluid that is present inside the testicle. This helps to retrieve sperm. Sperm then retrieved using microscope to identify individual sperm.

TESA is performed under local anesthesia in the operating room and at most times, is coordinated with female partner’s egg retrieval.

Who are the right candidates for TESA?

  • Male partners who don’t have sperm in their semen are the candidates for TESA.
  • It is particular suitable for those who have underwent vasectomy or have absence of vas deference.
  • It is also suitable for male partners with primary testicular problems resulting in insufficient sperm production, or non-obstructive azoospermia.
  • Irreversible obstruction of the genital tract.
  • The patients with unsuccessful vasectomy reversal.