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  • +91 98288 92000
  • AlIMS Rd, Patrakar Colony, Shastri Nagar, Jodhpur, Rajasthan 342011
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PESA, TESA and TESE Jodhpur

Precision Male Fertility Care
Right Here in Jodhpur

PESA, TESA and TESE are sperm retrieval procedures used when sperm are absent from the semen but may still be available in the reproductive tract.

At Galwa Care Hospital, Jodhpur, fertility specialists, andrologists and embryologists coordinate retrieval and ICSI planning under one care pathway.

These procedures can make biological fatherhood possible for men with obstructive or selected non-obstructive azoospermia.

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Azoospermia Does Not Mean the End

When and Why Are PESA, TESA and TESE Needed?

These sperm retrieval procedures are recommended when a man is unable to produce sperm in his
ejaculate, either due to a blockage or impaired sperm production within the testicles themselves.

Obstructive Azoospermia (PESA)

When the testicles produce sperm normally but a physical blockage prevents sperm from appearing in the semen, PESA retrieves sperm directly from the epididymis where sperm are stored and mature.

Congenital Absence of the Vas Deferens (PESA)

A condition where the tubes that carry sperm from the testicles are absent from birth, commonly seen in men who carry the cystic fibrosis gene, making PESA the most appropriate first retrieval method.

Failed PESA or Difficult Epididymal Access (TESA)

When PESA has been attempted but failed to retrieve sufficient sperm, or when epididymal access is technically challenging, TESA retrieves sperm directly from testicular tissue instead.

Non-Obstructive Azoospermia (TESE)

When the testicles themselves produce little or no sperm due to impaired spermatogenesis, TESE provides a more comprehensive tissue biopsy to search for areas of focal sperm production.

Genetic Causes of Azoospermia (Micro-TESE)

Conditions such as Klinefelter syndrome, Y chromosome microdeletions, or cryptorchidism that result in severely impaired sperm production where Micro-TESE offers the best possible retrieval opportunity.

Step by Step, Procedure by Procedure

The PESA, TESA and TESE Procedure

Each sperm retrieval procedure at Galwa Care Hospital is preceded by thorough diagnostic evaluation and performed with the highest precision to maximize the chances of successful sperm retrieval.

Pre-Procedure Assessment

Medical history, fertility status and goals are reviewed so the safest, most suitable treatment plan can be personalised.

Anaesthesia

Anaesthesia is given as required so the procedure remains safe and comfortable.

PESA: Epididymal Needle Aspiration

Sperm is retrieved directly from the epididymis or testis using the planned surgical technique.

TESA: Testicular Needle Aspiration

Sperm is retrieved directly from the epididymis or testis using the planned surgical technique.

TESE: Scrotal Incision and Tissue Biopsy

Sperm is retrieved directly from the epididymis or testis using the planned surgical technique.

Laboratory Assessment and Sperm Processing

Medical history, fertility status and goals are reviewed so the safest, most suitable treatment plan can be personalised.

Sperm Use or Cryopreservation

A semen sample is tested, prepared with protective media and frozen securely for future fertility treatment.

Recovery and Discharge

Ports are closed neatly and recovery is monitored before safe discharge with clear after-care advice.

Fatherhood Is Still Possible for You

Benefits of PESA, TESA and TESE

PESA, TESA and TESE provide a direct route to sperm retrieval when sperm cannot be obtained through ejaculation.

Opens the Door to Biological Fatherhood

For men with azoospermia who cannot father children naturally, these retrieval procedures make biological parenthood a genuine and achievable possibility through IVF and ICSI.

Minimally Invasive Options Available

PESA and TESA require no surgical incision and are performed as quick, well-tolerated outpatient procedures with minimal discomfort and a very short recovery period required.

High Retrieval Rates in Obstructive Cases

PESA in obstructive azoospermia has very high sperm retrieval success rates of over 90% in many centres, making it a reliable and consistently predictable first-line retrieval procedure.

Viable Even in Non-Obstructive Azoospermia

TESE and Micro-TESE offer sperm retrieval success rates of 40 to 60% in non-obstructive azoospermia, providing genuine hope in even the most challenging and complex male infertility cases.

Sperm Can Be Frozen for Future Use

Retrieved sperm can be cryopreserved at Galwa Care Hospital, avoiding the need for repeat surgical procedures in subsequent IVF cycles and giving patients greater treatment flexibility.

Does Not Affect Hormones or Sexual Function

All three procedures involve only small amounts of tissue and do not damage the hormone-producing Leydig cells of the testicle, preserving testosterone levels and sexual function completely.

Seamlessly Integrated with ICSI

Retrieved sperm, even in very small numbers, are sufficient for ICSI fertilization which requires only a single sperm per egg, making even limited retrieval outcomes clinically viable.

Rapid Recovery Times

PESA and TESA have recovery periods of just 24 to 48 hours, while TESE recovery is generally complete within 5 to 7 days, minimizing disruption to normal daily life and activities.

Comprehensive Pre-Procedure Evaluation

Galwa Care Hospital provides thorough diagnostic workup before any retrieval procedure, ensuring the most clinically appropriate technique is selected for each individual patient.

End-to-End Fertility Care Under One Roof

From sperm retrieval through ICSI, embryo culture, and embryo transfer, Galwa Care Hospital provides complete integrated fertility care without the need for multiple external referrals.nn

Prepare Well, Recover Safely

PESA, TESA and TESE — Do's and Don'ts

Following these recommendations before and after your sperm retrieval procedure will support a smooth recovery, protect the retrieved sperm quality, and ensure the best possible treatment outcome.

DO'S — What You Should Do

Follow all pre-procedure preparation instructions from your urology team.

Attend all pre-procedure evaluation appointments including blood tests and ultrasound.

Arrange for someone to drive you home after the procedure as advised.

Apply ice packs wrapped in cloth to the scrotum to minimize swelling after.

Take all prescribed post-procedure medications including pain relief as directed.

Wear supportive underwear for the recommended period to support healing.

Rest adequately for the recommended recovery period before resuming activity.

Keep the procedure site clean and dry as per wound care instructions provided.

Contact your doctor promptly if you experience significant swelling or fever.

Attend all follow-up appointments to confirm recovery is progressing well.

DONT'S — What You Should Avoid

Do not drive yourself home after the procedure as sedation will have been used.

Avoid strenuous physical activity and heavy lifting during the recovery period.

Do not have sexual intercourse for the period advised by your doctor after.

Avoid swimming or submerging the area in water until fully healed.

Do not take blood-thinning medications without consulting your doctor first.

Avoid alcohol for at least 24 to 48 hours after the procedure.

Do not ignore symptoms such as significant swelling, fever, or unusual pain.

Avoid tight or uncomfortable clothing that creates pressure on the scrotal area.

Do not delay genetic testing if recommended before your procedure date.

Avoid comparing your retrieval outcome with others as results vary individually.

Specialist Expertise, Integrated Fertility Care

Every Man Deserves a
Chance at Fatherhood

Specialist expertise in PESA, TESA, TESE, and Micro-TESE procedures

Integrated fertility care from sperm retrieval through IVF and embryo transfer

Advanced embryology laboratory with high-powered microscopes and micromanipulation

High sperm retrieval success rates reflecting technical expertise and laboratory quality

Precise pre-procedure evaluation including genetic karyotyping and scrotal ultrasound

Compassionate male fertility care treating every patient with dignity and empathy

Sperm cryopreservation for safe long-term storage of retrieved sperm for future use

2000+

Eggs Successfully Frozen

98%

Vitrification Survival Rate

15+

Years of Experience

24/7

Support to Call

Transparent Pricing for Every Procedure

How Much Do PESA, TESA and TESE Cost?

The cost of sperm retrieval procedures varies depending on the specific technique required, the complexity of the case, and whether surgical sperm retrieval is combined with a same-day IVF and ICSI cycle. At Galwa Care Hospital, all pricing is communicated clearly and transparently upfront.

Easy EMI Facility Available

Pre-procedure diagnostic evaluation

Anaesthesia and procedure fees

Laboratory sperm processing

ICSI fertilization procedure

Sperm cryopreservation (if needed)

Embryo culture and transfer

Post-procedure follow-up care

Easy EMI Facility Available

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Sperm Retrieval Questions, Clearly Answered

Frequently AskednQuestions.

Azoospermia is a condition where no sperm are found in the ejaculate. PESA, TESA, and TESE are surgical sperm retrieval techniques that directly extract sperm from the reproductive tract for use in IVF and ICSI treatment. The right procedure depends entirely on the cause of your azoospermia, your hormonal profile, ultrasound findings, and previous treatment history. PESA is preferred for obstructive azoospermia, TESA for obstructive cases where PESA is not feasible, and TESE or Micro-TESE for non-obstructive azoospermia. Your specialist at Galwa Care Hospital will determine the most appropriate approach after a comprehensive evaluation.

All three procedures are performed under local anaesthesia or sedation, so patients experience minimal to no pain during the procedure itself. Mild post-procedure soreness and scrotal discomfort are common but resolve quickly within a few days. PESA and TESA require only 24 to 48 hours of recovery before returning to normal activities. TESE typically requires 5 to 7 days of recovery. Your doctor at Galwa Care Hospital will provide detailed post-procedure care instructions and pain management guidance to ensure a comfortable and smooth recovery.

PESA in obstructive azoospermia has very high retrieval rates of over 90% in many centres. TESE in non-obstructive azoospermia has retrieval rates ranging from 40% to 60% depending on the underlying cause. Any surplus sperm retrieved during PESA, TESA, or TESE can be cryopreserved (frozen) at Galwa Care Hospital for use in future IVF and ICSI cycles, avoiding the need for repeat surgical procedures and giving patients maximum flexibility in planning subsequent treatment attempts.

No. PESA, TESA, and TESE do not significantly affect testosterone production or sexual function. All three procedures involve only very small amounts of tissue and are specifically designed to avoid damaging the hormone-producing Leydig cells of the testicle. Men who undergo these procedures maintain their normal hormonal profile and sexual function throughout and after the recovery period. This is an important reassurance for many patients who are concerned about the potential impact of sperm retrieval on their overall health and well-being.

Genetic testing including karyotyping and Y chromosome microdeletion analysis is strongly recommended before TESE, particularly in non-obstructive azoospermia, as certain genetic abnormalities may be passed to male offspring conceived through ART. Yes, retrieved sperm from all three procedures are used with ICSI (Intracytoplasmic Sperm Injection), where a single sperm is directly injected into each mature egg, making even very small numbers of retrieved sperm fully clinically viable for achieving fertilization and pregnancy.

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