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TESA

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TESA stands for ‘testicular sperm aspiration’ and is a form of surgical sperm removal (SSR), or sperm extraction. 

With a wealth of experience treating male fertility issues, leading London male health expert Dr Suks Minhas frequently sees patients who are having difficulty conceiving, or who wish to freeze some of their sperm for the future. 

Mr Suks Minhas

TESA

With a wealth of experience treating male fertility issues, leading London male health expert Dr Suks Minhas frequently sees patients who are having difficulty conceiving, or who wish to freeze some of their sperm for the future. TESA is one of the surgical sperm retrieval techniques Dr Minhas specialises in. To enquire about the procedure or book a consultation, use our online enquiry form or call us on +44 (0)20 7224 5089.

What is TESA treatment and when is it suitable?

TESA stands for ‘testicular sperm aspiration’ and is a form of surgical sperm removal (SSR), or sperm extraction. You can find more information about SSR in our information videos.

TESA is a similar procedure to PESA, another form of surgical sperm removal, except that rather than taking sperm directly from the epididymis (this is the ‘sperm reservoir’ found at the back of each testis), with TESA, some sperm tubules (which produce sperm cells) are aspirated from the testes, and then sperm is extracted from these.

These procedures are usually used when coupes are unable to conceive due to a diagnosis of azoospermia. This means sperm analysis tests have found that a man has zero sperm count – there’s no sperm present in their ejaculate at all. You can find more information about azoospermia and causes of male infertility on our Male Infertility/Fertility page. SSR can also be useful for couples wishing to try for a baby after a previous vasectomy, but a vasectomy reversal either isn’t suitable or isn’t desired.

TESA is one of the treatments Dr Minhas performs for men who have obstructive azoospermia. This means that sperm is being produced in the testes, but there is a blockage within the tubes that carry sperm out of the testes – which means sperm is not able to reach the ejaculate fluid and exit the penis. Obstructions can occur for a number of reasons, including congenital (meaning they were present since birth), and trauma or injury to the area. Vasectomy is one of the most common acquired causes of obstructive azoospermia, as this procedure deliberately blocks off the sperm-carrying tubes.

 

How is TESA performed?

Like PESA, TESA is a minimally invasive surgical sperm removal technique. It can usually be performed with local anaesthetic used to temporarily numb the area first, so no pain is felt. This means you’ll be able to go home shortly afterwards, and there are less risks involved compared with more invasive procedures that require general anaesthetic. However, sedation may also be an option if required. This can be discussed during your consultation beforehand, so do tell us if you are anxious about it.

During the procedure, a very fine needle will be passed through the skin into the testes, and light suction will be used to extract a small number of seminiferous tubules. These will then be analysed in the lab, and if sperm is present, this will be collected and frozen.

The amount of sperm collected via TESA is considerably lower than what would normally be found in a man’s ejaculate, which means for couples trying to conceive, additional steps to aid the process will usually be required. However, where suitable, TESA can be very effective and yield positive results.

Recovery from TESA treatment is usually very quick and straightforward. However, some soreness after the procedure is normal, so you may need to take it easy for a few days. Regular painkillers if required, and wearing a scrotal support/supportive underwear can help. You’ll also be advised to wait until the area is healed – at least a few days – before resuming sexual intercourse and vigorous exercise.

 

What are the risks associated with TESA?

All surgical procedures carry a degree of risk, including the risk of infection and bleeding. While these are generally minimal and providing the highest level of care and aftercare is always our top priority, it’s important to be fully informed and aware of any associated risks before going ahead with a procedure, so we will discuss these with you beforehand.

In addition, there is no guarantee that TESA will result in a successful pregnancy – however, if the treatment is deemed suitable for you, outcomes are generally good.

 

Are there other options aside from TESA?

Yes – there are a number of surgical sperm retrieval techniques. You can find more information about these procedures on our Sperm Retrieval Techniques page. Which technique is most suitable largely depends on individual circumstances and why the treatment is required.

If you are having difficulty conceiving, Mr Minhas can help in investigating and diagnosing the root causes of the problem and talk you through the treatment options. Get in touch to book a consultation.

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