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PESA Treatment in Surat
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Female First Hospital offers PESA treatment in Surat (Percutaneous Epididymal Sperm Aspiration) — a quick, minimally invasive sperm-retrieval procedure for men with obstructive azoospermia. Performed by Dr. Sweta Patel‘s specialist team and used with IVF – ICSI, PESA is a simpler and more cost-effective alternative to MESA.
What is PESA?
PESA is a minimally invasive technique used to retrieve sperm in men with a suspected blockage of the vas deferens — the tube that carries sperm from the testis. Because it uses a fine needle rather than open microsurgery, it is quicker and more affordable than some other retrieval methods, while still being effective for suitable candidates.
How PESA Works
PESA is a simple outpatient procedure:
- A fine needle is inserted through the skin of the scrotum.
- Sperm is aspirated from the epididymis, where sperm are stored after production in the testes.
The retrieved sperm can be used immediately for ICSI, or frozen for future IVF cycles.
Who Is PESA Recommended For?
PESA is ideal for men with obstructive azoospermia — where sperm production is normal but a blockage prevents sperm from reaching the ejaculate. It is often chosen when a quick, less invasive option is preferred.
Where PESA does not retrieve enough sperm, or in more complex cases, MESA, TESA or TESE may be recommended. The right approach is decided after evaluation.
Why Choose PESA?
- Quick, outpatient procedure
- Less invasive than surgical alternatives
- More cost-effective than MESA
- Ideal for men with obstructive azoospermia
Why Choose Female First Hospital for PESA in Surat
- Specialist fertility team — care overseen by Dr. Sweta Patel, with 15+ years in reproductive medicine.
- Complete male-infertility care — all sperm-retrieval options (MESA, TESA, TESE) available in one place.
- Integrated with IVF–ICSI — retrieval and fertilization handled seamlessly under one roof.
- Confidential, compassionate care — male infertility handled with sensitivity and privacy.
Preparing for PESA
PESA is planned after a complete male fertility work-up. This usually includes two semen analyses, a hormone profile, a scrotal ultrasound and, where advised, genetic tests. If you have not completed this yet, an infertility test in Surat at our centre covers it. On the day, you are asked to come after a light meal, shave the area as instructed and arrange for someone to take you home.
Recovery and Aftercare
PESA does not involve a cut, so recovery is fast. Most men go home within an hour or two. Mild soreness or slight swelling for a day or two is normal and settles with scrotal support and simple pain relief. You can return to desk work the next day and should avoid heavy exercise and intercourse for about a week.
Possible Risks
PESA is a low-risk procedure. Occasionally there may be minor bruising, a small collection of blood (haematoma) or infection. Serious complications are rare. Call the hospital if you have fever, increasing pain or significant swelling.
PESA Compared With Other Sperm Retrieval Methods
| Procedure | Where sperm come from | How | Mostly used for |
|---|---|---|---|
| PESA | Epididymis | Fine needle, no cut | Obstructive azoospermia |
| MESA | Epididymis | Microsurgery | Obstructive azoospermia, larger sperm yield |
| TESA | Testis | Fine needle | Obstructive cases, or when PESA fails |
| TESE | Testis | Small tissue sample | Non-obstructive azoospermia |
Read more about MESA treatment in Surat, TESA treatment in Surat and TESE treatment in Surat to understand which may apply to you.
What If No Sperm Are Found?
If PESA does not yield enough sperm, the surgeon can usually move to TESA or TESE in the same sitting, so a second procedure on another day is avoided. Sperm that are retrieved are used for ICSI treatment in Surat on the same day, and any extra sperm can be frozen for future cycles.
Cost of PESA
PESA is normally planned as part of an ICSI cycle, and its cost depends on anaesthesia and whether sperm freezing is needed. We include it in the written estimate you receive along with the IVF cost in Surat.
Frequently Asked Questions
What is the difference between PESA and MESA?
Both retrieve sperm from the epididymis in obstructive azoospermia, but PESA uses a fine needle (quicker, more affordable), while MESA uses open microsurgery (more precise, often retrieves more sperm). Your specialist recommends the best option for your case.
Is PESA painful?
PESA is done under local anaesthesia or sedation, so the procedure is not painful. Mild soreness afterwards usually settles quickly.
Can PESA sperm be frozen?
Yes. Retrieved sperm can often be frozen for use in future IVF–ICSI cycles.
Book a Consultation
To find out whether PESA is right for you, book a consultation with Dr. Sweta Patel at Female First Hospital, Surat.