Percutaneous Epididymal Sperm Aspiration (PESA)

Percutaneous Epididymal Sperm Aspiration

What Is Percutaneous Epididymal Sperm Aspiration?

Dealing with male infertility is difficult. Male infertility is harder to treat than female infertility since many men find it difficult to discuss the problem because of the stigma attached to it. Male infertility is diagnosed and understood using sophisticated testing techniques. Poor sperm quality, an abnormally low sperm count, and changes in sperm motility may be some of the most typical causes of male infertility.

What are PESA's (percutaneous epididymal sperm aspiration) signs and symptoms?

  • Azoospermia: A man’s inability to produce sperm in his ejaculate. It might happen because vas deferens isn’t present. Sperms are transported by the vas deferens tube.
  • Vasectomy that failed
  • Deviations from the typical ejaculation process
  • When a guy ejaculates retrogradely, he does it in the bladder as opposed to the urethra.

What is the PESA success rate?

The PESA programme has a decent success rate. Almost 60 to 65 percent of the time, it works. It is among the most successful treatments for obstructive azoospermia.

PESA can be repeated multiple times by an embryologist until there are enough motile sperm available.

For ICSI, the same sperms may be utilized (IntraCytoplasmic Sperm Injection).

Is the surgical procedure for PESA challenging? What benefits does it offer?

PESA is a quick surgical procedure that affects the scrotum region. It only slightly hurts and is uncomfortable.

It’s an affordable surgery without any dangers or drawbacks.

What can one expect from PESA?

To execute PESA, local anesthetic is used. In order to harvest the sperms, the doctor inserts a tiny needle into the scrotum. Suction is used to retrieve sperm from the needle. ICSI can be performed right after that.

How soon does one recover from PESA?

On the same day as PESA, the patient is permitted to go home. After 24 to 48 hours following the treatment, he can resume his regular schedule.

Recovery is swift with almost no issues because there is little pain or discomfort following the treatment. On the doctor’s advice, the patient may take painkillers if they are needed to treat their pain.

Risk factors: During PESA, a needle is immediately inserted into the epididymal tubes by the physician. During this treatment, the inner testicles may sustain some injury. The likelihood of this injury may rise if the operation is repeated multiple times.

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