PESA Procedure in Jayanagar

Percutaneous Epididymal Sperm Aspiration

Percutaneous Epididymal Sperm Aspiration (PESA)

Percutaneous Epididymal Sperm Aspiration (PESA) is a minimally invasive procedure used to retrieve sperm directly from the epididymis in cases where there is a blockage or absence of the vas deferens, preventing sperm from being present in the ejaculate. This procedure is often utilized as part of assisted reproductive technology (ART) for individuals or couples facing male infertility issues.

Process of PESA:

Anesthesia: The procedure is usually performed under local anesthesia or light sedation to minimize discomfort for the patient.
Needle Aspiration: A fine needle is inserted through the skin into the epididymis to aspirate (suction) fluid containing sperm. The process is guided by ultrasound to ensure precision.
Sperm Retrieval: The aspirated fluid is then examined under a microscope to confirm the presence of viable sperm, which can be used immediately for in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).
Post-Procedure Care: After the procedure, patients are monitored briefly and given instructions for post-operative care. Most patients can resume normal activities within a day or two.

Reasons for PESA:

Obstructive Azoospermia: PESA is commonly used for men with obstructive azoospermia, a condition where a blockage in the male reproductive tract prevents sperm from being present in the ejaculate.
Congenital Absence of the Vas Deferens: Men born without vas deferens, often associated with cystic fibrosis, can benefit from PESA to retrieve sperm.
Prior Vasectomy: Men who have undergone a vasectomy and now wish to father children may opt for PESA as an alternative to vasectomy reversal.

Considerations:

Success Rates: The success of PESA depends on factors such as the cause of obstruction and the presence of healthy sperm in the epididymis.
Multiple Attempts: In some cases, multiple PESA attempts may be necessary to retrieve sufficient sperm for fertilization.
Costs: PESA can be costly, and individuals should consider the financial aspects, including the cost of the procedure and associated ART treatments.
Psychological Impact: Dealing with male infertility and undergoing PESA can have psychological impacts, and counseling or support groups may be beneficial.

PESA offers a viable solution for men facing certain types of infertility, providing the opportunity to retrieve sperm for use in assisted reproductive technologies and helping couples achieve their dream of having a biological child.