Percutaneous Sperm Extraction

Percutaneous Sperm Extraction

Azoospermia or no sperms  is of mainly two types obstructive and non obstructive. Obstructive azoospermia means sperm production is happening in testis but not coming in ejaculate due to obstruction in ducts in between. Comparatively in non obstructive azoospermia no or sparse sperm is being produced in testis hence no sperms are seen in ejaculate. 


In cases of obstructive azoospermia , ducts carrying sperms are blocked , either due to infectious process , trauma or due to surgery like vasectomy. But sperm production is happening in testis hence in case aspiration is done before obstruction we will be able to retrieve sperms . This is the simple theory behind sperm aspiration procedures in obstructive azoospermia like TESticular sperm aspiration or TESA or Percutaneous epididymal sperm aspiration or PESA


PESA as a sperm retrieval procedure has many advantages :-


  1. PESA as a procedure can be done under local anaesthesia .
  2. It is not a long procedure usually takes 10-15 minutes . 
  3. It gives a high yield of good quality sperms
  4. No incision required on testis
  5. Early recovery
  6. Can be planned with egg retrieval.
  7. Extra sperms if available can be cryopreserved for future use.



So if you are suffering from azoospermia, please do consult our fertility specialist Dr Prerna Gupta to discuss your treatment plan