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Micro epididymal sperm aspiration is where sperm is aspirated directly under vision from the epididymis.

Mr Suks Minhas

MESA – Micro Epididymal Sperm Aspiration

Micro Epididymal Sperm Aspiration (MESA) is where sperm is aspirated directly under vision from the epididymis. This is either performed as a procedure on its own when a PESA has failed and an open procedure needs to be performed, or alternatively it is performed at the time of potential reconstructive surgery where a small incision is made on the very fine sperm tubes or epididymal tubules under a microscope. The sperm can be aspirated and either stored or used at a cycle time for ISCI treatment.

In plainer terms

Surgical sperm retrieval is for individuals who do not have sperm in their ejaculation. A fine needle is passed into the testis to extract the sperm surgically. Any sperm retrieved can be used in an immediate ICSI cycle or frozen to be used in the future.

Why MESA?

There are many ways for a skilled practitioner to retrieve sperm for fertility purposes. And MESA is one such treatment. It requires great skill on the surgeon’s part and the patient would need to be under a general anaesthetic. However, the procedure is a common one for those who need assistance with conceiving.

Recover from MESA

After any procedure to retrieve sperm, there is a recovery period of a few days to a week. You are advised to avoid activity that would be strenuous. Strong supportive underwear is highly recommended too.

A prescription for the pain will be issued and patients can experience any of the following problems following surgery – bleeding, infection or pain.

Being prepared

MESA will be offered to you if Dr Minhas thinks you can produce sperm. The sperm collected can only be used for IVF. Therefore, it is important you want to proceed to this procedure.

It is also very important for patients to be prepared for the non-retreival of sperm as well. This doesn’t rule out further procedures being successful, however.

Talk to us in more detail about concerns you might have.

Screening the patient

Before the procedure, all patients are tested for Human Immunodeficiency Syndrome (HIV), as well as Hepatitis B and Hepatitis C. This will require you sign a consent form before screening the sample.

If you are diagnosed with any of these health problems, your sperm will be frozen in storage that is separated from other samples.  

Have any questions regarding MESA?

If you have any questions or would like to know more about MESA please contact Mr Suks Minhas here.

Do you have any questions or would like to make an appointment?

Contact Mr Suks Minhas to see how he can help on +44 (0)20 7224 5089 or use the contact form

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London Andrology

One of the UK’s most eminent andrologists

Mr Suks Minhas is widely regarded as a leader in the field of men’s health. With specialist interest and expertise in areas including male fertility and erectile dysfunction, penile and testicular cancers and male urology, he sees patients from all over the UK covering a vast range of concerns.

Mr Suks Minhas

Mr Suks Minhas is widely regarded as a leader in the field of men’s health. With specialist interest and expertise in areas including male fertility and erectile dysfunction, penile and testicular cancers and male urology, he sees patients from all over the UK covering a vast range of concerns.

Contact Mr Suks Minhas

Contact Mr Suks Minhas

If you have any questions or would like to make an appointment please use any of the following:

Telephone

+44 (0)20 7224 5089

Email

Email either Joanna Milton or Lorraine Dawkins at:
Joanna.Milton@hcahealthcare.co.uk
lorraine.dawkins2@hcahealthcare.co.uk