Dr Jasdev Singh
Surgical Sperm Retrieval (PESA / TESA / TESE)
When sperm cannot reach the semen, they may be collected directly from the testis or the tube beside it, for use in ICSI.
Male Fertility
Collecting sperm directly for use in ICSI
Surgical sperm retrieval collects sperm from the male reproductive tract. PESA takes sperm from the epididymis, the coiled tube beside the testis. TESA uses a fine needle to take sperm from the testis. TESE removes small pieces of testis tissue to search for sperm.
The idea of surgery can feel daunting. These are short procedures, and most men go home the same day.
Dr Jasdev explains which method suits your situation and how it fits with your partner’s treatment.
Both partners are assessed
Male factors play a part in many couples’ fertility problems, so sperm health is checked early.
Results explained clearly
You will understand what each result means and which options follow from it.
A plan for you as a couple
Male and female findings are considered together, so decisions make sense for both of you.
What sperm retrieval gives you
- A chance to use your own sperm for ICSI
- A method chosen to suit the cause of azoospermia
- Freezing of extra sperm to avoid repeat surgery where possible
How your care is planned
Each stage answers what is happening, why it matters, and what comes next for you as a couple. The plan is reviewed as results come in.
Confirm the cause of azoospermia with full testing
Choose PESA, TESA or TESE and plan the timing
Retrieve sperm and use or freeze them for ICSI
How the procedures work
PESA and TESA use a fine needle through the skin and are often done under local anaesthetic or sedation. TESE involves a small cut in the scrotum and is usually done under general anaesthetic. Any sperm found are used fresh for ICSI or frozen for later cycles.
Who may benefit
Men with azoospermia caused by a blockage, such as after a vasectomy or infection, and some men with low sperm production. It may also help men who are unable to ejaculate. Men with genetic changes linked to low sperm production are counselled first, so the chances and implications are understood.
What to expect
The procedure usually takes under an hour. You will have some aching and swelling for a few days, and supportive underwear helps. Most men return to work within a few days. You will be told whether sperm were found and how many. If no sperm are found, the reasons and your remaining options are discussed with care.
How Dr Jasdev works with you
He looks at male and female fertility together and explains results without jargon or judgement. Advice follows current evidence and your priorities as a couple. You will always know why a test or treatment is being suggested. Men and couples see him from Kuala Lumpur and across Malaysia, and some travel from neighbouring countries.
What to bring to your appointment
Bringing earlier results helps Dr Jasdev avoid repeating tests and focus on your next step. If you cannot find everything, bring what you have.
- All semen and hormone test results
- Genetic test results, if done
- Details of past surgery, including any vasectomy
What men often ask
Men often feel unsure what to ask about sperm health. These common questions are a good place to start.
Which procedure is right for me?
What if no sperm are found?
How painful is recovery?
Can the sperm be frozen?
Your questions about surgical sperm retrieval
What is surgical sperm retrieval?
It is a group of procedures, PESA, TESA and TESE, used to collect sperm directly from the epididymis or testis for ICSI.
Who is it suitable for?
Men with no sperm in the semen because of a blockage or low production, and men who cannot ejaculate. Full testing comes first.
What tests are needed first?
A semen analysis, hormone and genetic tests, and a scrotal examination or ultrasound.
Is it painful or risky?
It is done with anaesthetic, and soreness afterwards is common. Risks include bleeding, bruising and infection. Sperm cannot always be found, and this is discussed beforehand.
Why see Dr Jasdev for sperm retrieval?
He plans the procedure around the cause of azoospermia and your partner’s treatment, so each step fits together.
How do I book?
Call or WhatsApp the clinic, and bring your test results for review.
This page is general information and does not replace a consultation. Whether a test or treatment suits you, and its risks and timing, should be discussed with Dr Jasdev based on your own history.
Plan sperm retrieval with care
Book a consultation to discuss the right procedure for you.