PESA�can be used for men with congenital absence of the vas and in lieu of vasectomy reversal. This procedure involves insertion of a small needle, under local anesthesia, directly into the epididymis for aspiration of a fewer number of sperm than would be necessary for fertilization by conventional IVF. However, in most cases there are more than enough sperm to fertilize all oocytes by ICSI. With newer cryopreservation techniques, there may even be sufficient numbers of sperm for freezing so that additional ICSI procedures could be performed in the future without the need to obtain more fresh sperm.

The advantages to this technique are that it can be performed without surgical scrotal exploration, it can be repeated easily and at low cost, and it does not require an operating microscope or expertise in microsurgery.

The procedure is performed under local or general anesthesia. After induction of anesthesia, the testis is stabilized and the�epididymis�is held between the surgeon’s thumb and forefinger.

PESA has the main benefits of being successful in most of the cases, while avoiding a skin incision. Costs are lower because an operating microscope, the skills of a micro-surgeon and the possibility of a general anesthetic are not necessary or likely. The most significant drawback is the blind nature of the procedure, often requiring multiple, potentially damaging needle insertions. The delicate, coiled anatomy of the epididymal tubules are easily damaged with such maneuvers. While PESA may be successful for a person’s first�ICSI�cycle, future cycles will require repeated procedures and the increased likelihood of progressive epididymal damage.

• Intra Cytoplasmic Sperm Injection (ICSI)
  
• Cryopreservation of Gametes and Embryos
  
• Surgical sperm retrival�� etc

• Thomson Fertility Centre
  
• Vibhavadi Hospital
• Apollo Fertility and IVF Center
• Jindal Heart Institute & Test Tube Baby Centre
• Lilavati Assisted Conception Unit

Thailand,�Malaysia, Singapore, Turkey�and�India�are the most cost effective locations that offer up to almost 80% savings in comparison to the US.

SurgeryPlanet�facilitates a plethora of services to the medical treatment traveler also which includes, a hassle free and discounted travel option, a welcome hand at the airport on arrival, travel in an air-conditioned car, round the clock service & support. Your medical evaluation is pre arranged with the least of waiting time. Once your assessment is complete and found medically fit, the procedure is immediately scheduled without a waiting period. Please read through our Services and Testimonials to understand and select your best options.

• Thailand
  
• Malaysia
  
• Singapore
  
• Turkey
  
• India�