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PESA is a surgical sperm retrieval technique for men with obstructive azoospermia — where sperm is produced normally but cannot exit due to a blockage. SheIVF lists 3 verified PESA specialists in Hyderabad with confirmed credentials and transparent fees.
PESA (Percutaneous Epididymal Sperm Aspiration) is a minimally invasive procedure in which sperm is aspirated directly from the epididymis — the tube that stores and transports sperm from the testis. It is performed under local anaesthesia and is used specifically for obstructive azoospermia, where sperm production is normal but blocked. PESA is combined with ICSI for fertilisation and is performed at fertility clinics in Hyderabad.
PESA is recommended for men with obstructive azoospermia — caused by vasectomy, failed vasectomy reversal, congenital bilateral absence of the vas deferens (CBAVD), epididymal blockage from prior infection, or previous hernia repair surgery. If the cause of azoospermia is not clearly obstructive, your specialist in Hyderabad will investigate further before recommending PESA versus TESA.
PESA is performed as a day procedure under local anaesthesia. A fine needle is inserted into the epididymis and fluid is aspirated. The sample is examined immediately by an embryologist for sperm. The procedure is brief — typically 10 to 20 minutes. If adequate sperm are found, they are used for ICSI or cryopreserved. If epididymal sperm are insufficient, TESA (testicular aspiration) may be performed in the same session.
For obstructive azoospermia, PESA successfully retrieves sperm in approximately 80 to 90 percent of cases. Fertilisation rates with PESA sperm and ICSI are 60 to 70 percent. Overall IVF-ICSI pregnancy rates using surgically retrieved sperm are comparable to standard ICSI when good quality sperm are obtained. Your specialist in Hyderabad will advise on realistic outcomes.
PESA costs in Hyderabad include the procedure fee and the associated IVF-ICSI cycle. Indicative consultation fees for PESA specialists are listed on SheIVF. Confirm whether PESA and IVF-ICSI are offered as a combined package by your clinic in Hyderabad.
When choosing a PESA specialist in Hyderabad, look for a urologist or andrologist with hands-on experience in epididymal sperm retrieval. Confirm the clinic has an in-house embryology laboratory capable of processing and cryopreserving epididymal sperm. Patient ratings on SheIVF can help assess both technical competence and clinic experience.
PESA is a minor procedure with a low complication rate. Possible complications include bruising, minor bleeding, mild discomfort, and a small risk of infection. If insufficient sperm are retrieved from the epididymis, TESA from the testis may be attempted in the same session. Discuss cryopreservation of retrieved sperm for future cycles with your specialist in Hyderabad.
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PESA retrieves sperm from the epididymis and is used for obstructive azoospermia. TESA retrieves sperm from the testis and is used for both obstructive and non-obstructive cases. Your specialist in Hyderabad will recommend the right procedure based on your diagnosis.
Yes. PESA is frequently used for men with obstructive azoospermia following vasectomy, achieving sperm retrieval in approximately 80 to 90 percent of cases.
Yes. Sperm retrieved through PESA can be cryopreserved for future ICSI cycles, avoiding the need for repeat procedures. Discuss this option with your specialist in Hyderabad.
Epididymal sperm are mature but may have different motility characteristics than ejaculated sperm. ICSI bypasses the need for normal motility, making PESA sperm highly effective for fertilisation.
SheIVF lists 3 verified PESA specialists in Hyderabad. Compare by experience and fee to find the right specialist for surgical sperm retrieval.