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Best MESA Centres in Amritsar

Top MESA Centres in Amritsar with options to book your first appointment FREE. Check Reviews, Fees, Cost, Success rates, Contact Number and Address for all MESA Treatments.

MESA (Micro-Epididymal Sperm Aspiration) is an open surgical sperm retrieval technique to treat male infertility problems such as Azoospermia (total absence of sperm in ejaculation) and reproductive tract blockage due to various genital surgeries including vasectomy. Under this procedure, operating microscopy is used and sperm retrieval is done directly from the epididymis (reproductive tube connecting the testicles to the sperm carrying vessels) of the male genitalia. MESA is normally used to assist pregnancy for childless couple through Assisted Reproductive Technology (ART) such as IVF (In-Vitro Fertilization).

This technique is used when the male partner has issues with producing sperm due to reasons such as:

  1. Azoospermia –

    When there is zero sperm found in the ejaculated semen in a Semen Analysis Test or Sperm Culture Report, one may be suggested MESA. Azoospermia is of two kinds -

    1. Obstructive Azoospermia (no sperm in the semen due to infection/accident/surgery in testicles, prostate or the reproductive tract)
    2. Non-obstructive Azoospermia (no sperm in the semen due to abnormal sperm production mostly related to hormonal problems or genetic)

    However, MESA is not suggested in Non-Obstructive Azoospermia (NOA) as it is difficult to find sperm in the epididymis when sperm production is impaired due to genetic factors in NOA.

  2. Oligospermia -

    MESA is suggested when the male has Oligospermia (low sperm concentration in the semen).

  3. MESA is helpful when the male has previous issues of genital surgeries such as Vasectomy (male sterilization surgery for permanent contraception) or inguinal Hernia Repair (surgery to repair hernia in the groin)

  4. Men diagnosed with Cystic fibrosis (genetic disorder affecting lungs), which leads to infertility problems by affecting the development of vas deferens-tube carrying the sperm to the testicles.

  5. MESA is required when the male has problem with blockage of seminal tissues or vas deferens due to cysts.

  6. Men with history of testicular cancer can opt for MESA to have children without any risk.

MESA procedure is very minimal and less invasive. The entire procedure of sperm retrieval through MESA takes only 30-45 minutes. MESA is conducted as follows -

  1. The patient is given general or local anesthesia with intravenous sedation.
  2. The scrotal skin is sterilized with antiseptic/s and prepared for the surgery.
  3. The surgeon makes an incision in the scrotal skin exposing the testicles and the epididymis.
  4. An operative microscope is used to locate a single Epididymal tubule.
  5. Sperm is retrieved from the Epididymis and tested in laboratory using sperm culture test or general semen analysis test.
  6. Retrieved sperm can be used for IVF (in-vitro fertilization) or can be frozen (cryopreserved) for future IVF cycle/s.
Benefits of Micro-Epididymal Sperm Aspiration (MESA)
  1. MESA is beneficial to many couples as it allows for maximum retrieval of sperm. Excess sperm can be cryopreserved or frozen to use in future IVF cycles.
  2. Couples can use MESA, those who do not want to go for donor sperm.
  3. Less invasive and needs just a microsurgery.
  4. MESA is the best way to retrieve sperm if TESA (Testicular Sperm Aspiration) fails or when sperm retrieval is not possible through TESA.
Risks of Micro-Epididymal Sperm Aspiration (MESA)
  1. Mild pain lasting for 10 to 14 days is common after MESA.
  2. Risk of Haematoma (swelling with clotted blood in the scrotal tissue) is there after MESA.
  3. Swelling of the testicles with discoloration of the scrotal skin is also observed in some patients after MESA.
  4. Risk of infection in the incision site (swelling, redness, rash, itching) persists up to a week after MESA.
  5. One should avoid sexual encounter and spicy food after MESA as they can complicate patients pelvic and bowel area respectively.