Zero sperm count isn't the end.
PESA, TESA, and Micro TESE retrieve sperm directly from the reproductive tract for use with ICSI.
When Surgical Retrieval Is Needed
Azoospermia falls into two categories: obstructive, where sperm production is normal but blocked, and non-obstructive, where the testicles produce very little. A hormonal and genetic workup tells us which — and which procedure is right for your case.
Techniques We Use
PESA
A fine needle aspirates fluid from the epididymis — 15 to 20 minutes, local anaesthesia.
TESA
A needle draws sperm-containing tissue directly from the testicle.
Micro TESE
Microscopic exploration to find isolated sperm-producing tissue — the highest yield in non-obstructive cases.
Who This Helps
Prior vasectomy
When reversal isn't possible or has failed.
Absent vas deferens
A structural cause present from birth.
Non-obstructive azoospermia
After a complete hormonal and genetic workup.
Prior infection or scarring
Blocking the epididymis or vas deferens.
Coordinating Retrieval With ICSI
Retrieved sperm is always used with ICSI. It can be timed with your partner's egg collection, or frozen in advance to avoid the pressure of same-day timing and repeat surgery.
Key Benefits
- Restores biological fatherhood in azoospermia
- Micro TESE finds sperm in 40–60% of non-obstructive cases
- Can be timed with retrieval or frozen in advance
- Minimal downtime for PESA and TESA
Get a Second Opinion Built on Numbers
WhatsApp your semen analysis and hormone reports and see plainly what retrieval can do for your case.