TESS/ PESA / Micro TESA

Overview

TESE (Testicular Sperm Extraction), PESA (Percutaneous Epididymal Sperm Aspiration), and Micro-TESE (Microscopic Testicular Sperm Extraction) are three types of surgical sperm retrieval techniques used in male infertility treatments.

TESE involves the surgical removal of a small piece of testicular tissue and the extraction of sperm from this tissue. This procedure is performed under local or general anesthesia, and is usually recommended for men with low sperm count or no sperm in their ejaculate.

PESA involves the use of a needle to aspirate sperm from the epididymis, the tube located behind the testicles that stores and carries sperm. This procedure is performed under local anesthesia and is usually recommended for men who have a blockage in their reproductive system, such as a vasectomy or congenital absence of the vas deferens.

Micro-TESE is a more advanced and specialized version of TESE that involves the use of a microscope to identify and extract sperm from the testicular tissue. This procedure is usually recommended for men who have a very low sperm count or no sperm in their ejaculate and have not been successful with previous TESE procedures.

These surgical sperm retrieval techniques can be used in combination with other fertility treatments, such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI), to help couples achieve pregnancy.

Couples or individuals considering these procedures should speak with their fertility specialist to determine if one of these techniques is an appropriate option for their individual situation. The decision to undergo these procedures is a complex one that requires careful consideration of the potential benefits and risks, and should be made in consultation with a qualified medical professional.

InduMadhusudhan-MBBSMD-ObstetricsGynaecology

Dr. Indu Madhusudhan

MBBS, MD - Obstetrics & Gynaecology

Speciality : Infertility Specialist, Gynecologist, Obstetrician Experience : 22+ Years Experience
Languages spoken : English, Kannada ,Hindi , Marathi

MadhusudhanHR-MS-GeneralSurgeryMCh-UrologyGenito-UrinarySurgeryDNB-UrologyGenito-UrinarySurgeryMNAMS-GeneralSurgeryFRCS-GeneralSurgeryMBBS

Dr. Madhusudhan H.R

MS - General Surgery, MCh - Urology/Genito-Urinary Surgery, DNB - Urology/Genito - Urinary Surgery, MNAMS - General Surgery, FRCS - General Surgery, MBBS

Speciality : Infertility Specialist, Gynecologist, Obstetrician Experience : 22+ Years Experience
Languages spoken : English, Kannada ,Hindi , Marathi

Sushma Dasari
Sushma Dasari
2022-12-30
It’s a gods grace to meet Dr.Indu Madhusudhan, our life has changed completly because of her advices, I am conceived now and expecting a baby in few days. She is extremely patient friendly, polite and smiling in addressing all our concerns. More to it she also made us feel comfortable in communicating freely during the appointments. I would say she is one of the top most gynaecologist with impeccable knowledge. Thank you mam for utmost care and advices.
Suseela kurakula
Suseela kurakula
2022-12-24
Very good consultation…and preferable
vinutha prabhakar
vinutha prabhakar
2022-10-17
I have known Dr.Indu for over a year now. She is extremely kind and helpful. Patiently addressed all our concerns. She has such a positive aura which is calming. She has been of great support in my pregnancy journey! I am so glad to have consulted her. Thank you, Doctor.
Srujana Banjagere
Srujana Banjagere
2022-09-07
Extremely kind and empathetic. carefully investigates your entire history and explains the options available. Doctor is very transparent and knowledgeable. She also has a soothing aura. Definitely recommend to anyone trying for a baby.
sonali manure
sonali manure
2022-05-17
Doctor is very professional and friendly. I am so grateful to have met her. 🙂🙏
Pratibha Kulkarni
Pratibha Kulkarni
2021-11-13
We are thankful to Dr.Indu for always being there for us. Throughout our infertility journey she gave us hope and encouraged us to not give up. We really appreciate her knowledge, friendliness and frankness. Her calm demeanour and constant guidance helped us keep calm through our challenging pregnancy and emergency c-section. She has not just been our doctor but also a friend and a guide.

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Frequently Asked Questions

Before your first appointment, one of our clinical care coordinators will call you to discuss your case and review what appointments to expect. The clinical care coordinator will make sure all appointments are arranged in a timely fashion. Each of our patients is unique and treated individually, and the schedule of doctors you see will be tailored specifically to your needs. The doctors will discuss your care options with you and answer any questions that you may have regarding your diagnosis and management.

We are dedicated to helping pregnant women and their families after a significant birth defect or genetic condition has been detected. Specialists from both obstetrics and pediatrics work together as a team to determine the best way to care for you and your unborn baby, both during and after your pregnancy.

Whenever possible, we create an integrated appointment plan, so that you can meet with the multiple subspecialists involved in your case. Some patients come here for a second opinion and go back to their obstetrician. Other patients transfer their care to Columbia as their delivery date approaches to make sure their baby immediately receives the necessary specialized pediatric care after birth.

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