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sri ram IVF

PROMOTING FEMALE HEALTH AT EVERY STAGE

PESA (Percutaneous Epididymal Sperm Aspiration) at Sriram Hospitals

Percutaneous Epididymal Sperm Aspiration (PESA) is a minimally invasive procedure used to retrieve sperm directly from the epididymis — a small tube where sperm matures and is stored after being produced in the testicles. This technique is often used in men with obstructive azoospermia, where a blockage in the reproductive tract prevents sperm from being released in the semen.

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At Sriram Hospitals, our skilled fertility and andrology team perform PESA with precision, ensuring maximum sperm retrieval while keeping the procedure simple, safe, and virtually painless.

Male reproductive system diagram
Doctor showing male anatomy model

Who Needs PESA?

PESA is typically recommended for men with:

  • Obstructive Azoospermia – Due to vasectomy, congenital absence of the vas deferens, or scarring from infection or injury.

  • Ejaculatory Duct Obstruction – Preventing sperm from mixing with semen.

  • Vasectomy Reversal Failure – When sperm retrieval is still needed after an unsuccessful reversal.

  • Certain Genetic Conditions – Affecting sperm transport.

How PESA is Performed

  • Pre-Procedure Evaluation

    • A complete medical history, physical examination, and semen analysis.

    • Hormone tests and imaging if needed.

  • Anesthesia

    • Usually performed under local anesthesia; sedation may be given for added comfort.

  • Sperm Retrieval

    • A fine needle is inserted into the epididymis through the skin of the scrotum.

    • Fluid containing sperm is aspirated gently.

    • The procedure typically takes 10–20 minutes.

  • Laboratory Processing

    • The aspirated fluid is examined under a microscope in our embryology lab to identify and isolate motile sperm.

    • Sperm may be used immediately for ICSI (Intracytoplasmic Sperm Injection) or frozen for future IVF cycles.

Advantages of PESA at Sriram Hospitals

  • Minimally invasive – No surgical incision required.

  • Quick procedure & recovery – Performed as an outpatient treatment.

  • Low discomfort – Most men experience only mild soreness for a day or two.

  • Effective for blockages – Ideal for retrieving sperm in obstructive azoospermia.

  • Can be repeated if needed – Without significant complications.

  • Option for cryopreservation – Allows storage of sperm for later use.

Conclusion

PESA provides men with certain types of infertility a safe, simple, and effective way to retrieve sperm for assisted reproductive techniques. At Sriram Hospitals, we combine advanced medical expertise with compassionate care to give couples the best possible chance at achieving parenthood.
 

Recovery and Aftercare

  • Mild swelling or tenderness may occur; usually subsides in 24–48 hours.

  • Use supportive underwear and apply ice packs as recommended.

  • Avoid strenuous activities or heavy lifting for 1–2 days.

Male fertility diagram

PESA

Empowering Women's Health

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