TruCare Fertility Clinic offers an outpatient Percutaneous sperm aspiration service.
Percutaneous sperm aspiration (PESA) is often the first course of treatment when no sperm is found in a man’s semen, as it does not require any surgical cuts. It is a fairly short procedure, taking no more than 20 minutes to complete and requires only local anesthetic.
During PESA, a needle is inserted through the scrotum into the epididymis and is used to remove the liquid inside. Because doctors are looking to collect between 10 and 20 million sperm, in some cases, multiple aspirations in one or both of the testicles are necessary.
Since sperm removed from the epididymis are not fully matured yet, it is necessary to use ICSI to fertilize an egg. Men with CAVD or who have scar tissue in their vas deferens are the most suited to this procedure.