TESA & PESA in Kolkata — Surgical Sperm Retrieval for Azoospermia
Zero sperm in the ejaculate does not mean zero hope. TESA (Testicular Sperm Extraction) and PESA (Percutaneous Epididymal Sperm Aspiration) are minimally invasive surgical procedures that retrieve sperm directly from the testes or epididymis. Combined with ICSI at Maatritva IVF in Newtown, these techniques allow some men with azoospermia to father biological children, although sperm retrieval is not successful in every case.
Estimated Cost
₹30,000 – ₹80,000
Treatment Outcomes
Vary by individual
Depend on age, diagnosis and treatment history. No outcome is guaranteed.
What is TESA & PESA Surgical Sperm Retrieval Kolkata?
TESA involves inserting a fine needle into the testis under local anaesthesia to aspirate sperm-containing tissue. PESA aspirates sperm from the epididymis — the coiled structure behind the testes — and is used for obstructive azoospermia. For non-obstructive azoospermia (where sperm production is impaired), micro-TESE uses a microscope to find the tiny pockets of active sperm production within the testes — and is generally associated with higher retrieval rates than conventional biopsy in non-obstructive cases.
Who Needs This?
TESA/PESA is recommended for men with obstructive azoospermia (blocked vas deferens, post-vasectomy), non-obstructive azoospermia (Sertoli cell only, hypospermia), ejaculatory dysfunction, failed vasectomy reversal, and any case where sperm cannot be obtained through ejaculation.
Have Questions About This Treatment?
Contact the clinic to enquire about appointment availability.
The Process
- 1Step 1: Comprehensive evaluation — FSH, LH, testosterone, karyotype, Y-chromosome microdeletion testing
- 2Step 2: Procedure selection — TESA, PESA, or micro-TESE based on diagnosis
- 3Step 3: Procedure under local anaesthesia or short IV sedation
- 4Step 4: Embryologist immediately examines retrieved tissue for viable sperm
- 5Step 5: Sperm used directly for ICSI or cryopreserved for future cycles
- 6Step 6: Post-operative rest 2–3 days; partner's IVF cycle coordinated simultaneously
Need More Information on Cost?
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