These procedures are normally done to confirm sperms in the azoospermic patients
Once mature sperms are confirmed, all infertile patients are given the option of sperm freezing
Once the sperms are frozen infertile female patients have a good chance of conceiving with IVF-IMSI
For better chances some patients go for a TESA/PESA on the same day as their wife`s egg retrieval.
TESA is a diagnostic procedure to identify azoospermia, it’s a condition in which males have no sperm count in the semen.or it could also be a process of retrieving sperms from the men’s testicles having problems such as ejaculation issues which cannot be treated by in any other way.
In the TESA procedure, general anesthesia is given where a thin needle is inserted into the testicles and cells from the seminiferous tubules are collected, it’s the location in which sperm are produced. These tubules are examined in the laboratory and watch is any sperms are present, which are used for fertilizing eggs or can be frozen.
In the TESA procedure sperm collected from the seminiferous tubules in are less mature, less mobile and less active compared to the semen collected in ejaculation. However Intracytoplasmic Sperm Injection (ICSI) – a specialised form of In Vitro Fertilisation (IVF) – is needed to fertilise TESA sperms.
Percutaneous Epididymal Sperm Aspiration (PESA)
PESA is a medical procedure, local anesthesia is given and the surgeon implants into the epididymis the area besides the testicles. A syringe with a needle is inserted into the epidermis where the sperms move after they are developed inside the testicles. PESA is the procedure done for men who had undergone a vasectomy or have some objection like no presence of vas deferens. The sperm obtained using Percutaneous Epididymal Sperm Aspiration(PESA) procedure can be used in combination with ICSI treatment.
A testicular biopsy is a process of removing a small tissue from either sides of the testicles for laboratory examination. Testicles are the male reproductive organ which produce sperms and the the male hormones called the testosterone. Testicles are situated in the scrotum.
A testicular biopsy is done to:
- Investigate the presence of any mass in the testicles.
- Study the reason for the male infertility.
- To collect sperms for the in vitro fertilization ( IVF)treatment.
Why is the Biopsy done?
A testicular biopsy is mainly done to identify the reason for the male infertility. It might also be done in situations of Azoospermia, a condition in which there are no sperms present in the men’s semen.It is not done to know if the testicles have signs of cancer. If signs of cancer exists then your doctor might perform a surgical procedure which is called orchiectomy.
How the Testicular Biopsy is done
This surgery is done by a specialist in men’s organs (urologist). It is a daytime procedure. It can be done in the doctor's office, a day surgery clinic, or a hospital operating room. The patient is lied on the table and the area to be operated over the testicles is first sterilized. Local anesthesia is given to the scrotum area and then small tissue from the testicles is collected and then later it’s stitched. The stitches heal with time and the body absorbs it over a period of time. The doctor suggests you to wear some athletic inners for more support and be careful till the cuts heal. The procedure generally takes 20 minutes and it’s advised not to indulge in any sexual activity till the cuts get healed.
After the Biopsy?
You will experience a sharp sting when the IV is injected or the anesthesia is given. The scrotum area might feel some uneasiness and soreness after the biopsy is done. It’s common that some bleeding and some mild bruising is observed for a day or two.
There is minimal risk of bleeding which might last for a few days and there are chances of infection. However the biopsy does not disrupt the patient’s erection problems. After the cut has heal the patient can indulge in sexual activities.
After the biopsy
Contact your doctor if you experience:
- Extreme pain in the scrotum area & mild discomfort is also associated.
- If there is severe swelling in the scrotum.
- If you get high temperature exceeding than 100°F (38°C).
- If you experience unusual bleeding.