TESA
Procedure Overview
TESA (Testicular Sperm Aspiration) is a needle-based technique used to retrieve sperm directly from the testicle for use with assisted reproduction (IVF/ICSI), typically when no sperm is present in the ejaculate.
Who Needs It
Recommended for men with obstructive azoospermia, or cases where a straightforward needle-based retrieval is expected to succeed.
Preparation
Preparation includes hormone testing and coordination with the partner's fertility treatment cycle, with fasting if sedation is used.
Step-by-Step Procedure
Local Anesthesia
A local anesthetic is administered to the treatment area.
5 minNeedle Aspiration
A fine needle is used to aspirate a small sample of testicular tissue.
15–20 minSample Examination
The sample is examined immediately in the lab for the presence of sperm.
15–30 minUse or Cryopreservation
Retrieved sperm is used fresh or cryopreserved for future use.
Same dayBenefits
- ✓Minimally invasive
- ✓Quick, outpatient procedure
- ✓Avoids a larger surgical incision when successful
Recovery Timeline
Most patients go home the same day, with mild discomfort for a few days and a return to normal activity within a few days.
