Choosing a PESA - Percutaneous Epididymal Sperm Aspiration Specialist in Jhansi
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 0 verified PESA specialists in Jhansi with confirmed credentials and transparent fees.
What is PESA - Percutaneous Epididymal Sperm Aspiration?
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 Jhansi.
Who Should Consider PESA - Percutaneous Epididymal Sperm Aspiration in Jhansi?
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 Jhansi will investigate further before recommending PESA versus TESA.
PESA - Percutaneous Epididymal Sperm Aspiration Process — Step by Step
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.
PESA - Percutaneous Epididymal Sperm Aspiration Success Rates in Jhansi
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 Jhansi will advise on realistic outcomes.
PESA - Percutaneous Epididymal Sperm Aspiration Cost in Jhansi
PESA costs in Jhansi 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 Jhansi.
How to Choose the Right PESA - Percutaneous Epididymal Sperm Aspiration Doctor in Jhansi
When choosing a PESA specialist in Jhansi, 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.
Risks and Considerations for PESA - Percutaneous Epididymal Sperm Aspiration
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 Jhansi.
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