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Circle Health Group

Testicular epididymal sperm extraction

Testicular epididymal sperm extraction involves taking a sample of testicular tissue to see if sperm are present. Book an appointment online today.

What is testicular epididymal sperm extraction?

This procedure involves taking a sample of testicular tissue to see if sperm are present.

The procedure

PESA is usually carried out under local anaesthetic by the consultant urologist. A small cut is made into the testicle and a tiny sample of testicular tissue is removed, before being carefully examined for the presence of sperm.

If excess sperm are recovered they may be frozen for use in a later treatment cycle. This means that it would not be necessary to recover further sperm until the frozen sperm was used up.

For more information, and if you have any queries, speak to your consultant.


PESA is appropriate for men who have no sperm in the ejaculate because they are born with no vas deferens (the sperm-carrying tube), or because the tube is blocked. MESA is also suitable for men who have had a vasectomy.

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Specialists Offering Testicular epididymal sperm extraction

Mr Mostafa Metwally

Consultant Gynaecologist & Fertility Specialist


BMI Thornbury Hospital

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Miss Henna Mohiudin

Consultant Obstetrician and Gynaecologist

MBBS, MRCOG, DFFP, Diploma of Operative Endoscopy in Gynaecology

BMI Hendon Hospital

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Mr Yadava Jeve

Consultant Gynaecologist Subspecialist Fertility


BMI The Priory Hospital 1 more BMI Sutton Medical Centre

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Mr Sabah Baghdadi

Medical Director IVF unit, Priory Hospital, Senior Consultant Gynaecologist and Fertility Specialist

LRCP-LRCS- (Oxford) LMMSA London 1995 MRCOG 2002 FRCOG 2014

BMI The Priory Hospital

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Mr Sudhanshu Chitale

Consultant Urological Surgeon, Hon Clinical Associate Professor (UCL)

FRCS (Urol), FEBU, DNB (Urol), Diploma Urol (Lon), FICS, FRCS (Eng), MS (Gen Surg.), MBBS, FAcadMEd

BMI The London Independent Hospital 3 more BMI The Kings Oak Hospital BMI The Cavell Hospital BMI Hendon Hospital

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Ways to pay

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Pay for yourself

Pay for yourself with our fixed price packages. This includes your pre-assessment, treatment, follow-ups and 6 months' aftercare

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Pay with health insurance

We are widely recognised by health insurers. Ask your insurer about your cover and for an insurer pre-authorisation code

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direct debit

Spread the cost

Pay for yourself with the BMI card and spread the cost over 12 months, interest-free (terms and conditions apply)

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