Dr. Shilpa G B

Best PESA Centre in Bangalore

When men are having their sperm harvested for IVF/ICSI but have obstructive azoospermia due to a previous vasectomy or infection, the PESA procedure is utilized to help them get their sperm back. It is done under local anesthesia in an operating room or office setting, and it is timed to coincide with the egg retrieval of their female partner.

The procedure of PESA

  • Administration of anesthesia: PESA is usually performed under local anaesthesia, which involves injecting the anaesthetic directly into the scrotum to get the desired outcome. This is done to make the area numb and prevent pain throughout the procedure.
  • Sperm extraction: A tiny needle will be inserted into the vas deferens or the epididymis and the plunger will be pushed out to allow the seminal fluid to be sucked into a syringe after the vas deferens or the epididymis has been identified.
  • Testis exam: The doctor next applies a warm antiseptic solution to the scrotum in preparation for the surgical procedure. The testicles are then examined by touching the scrotum for the vas deferens, which is situated close to the testicles. Additionally, this is done to look for any potential blockages or abnormalities.
  • Exam for the presence of motile sperm: An embryologist examines the seminal fluid to check whether there are any motiles or moving sperm in it after it has been collected. If there are insufficient sperm, the procedure will be repeated until there are enough.

When is PESA carried out?

PESA is performed for the following conditions:
    • Varicocele
    • Testicular failure
    • Azoospermia