Microsurgical Epididymal Sperm Aspiration Treatment in India – Best Hospitals & Doctors

Learn about Microsurgical Epididymal Sperm Aspiration Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Microsurgical Epididymal Sperm Aspiration and request assistance for cost estimates or appointments.

Partner Hospitals

0 partner in India for this surgery

Specialist Doctors

7 Surgeons linked to this surgery

Treatment Cost

Approx INR 60 Thousand – 150 Thousand

About Microsurgical Epididymal Sperm Aspiration

Microsurgical Epididymal Sperm Aspiration (MESA) is a specialized surgical sperm retrieval procedure performed by experts in IVF and Reproductive Medicine. It is primarily used for men with obstructive azoospermia, where sperm production is normal but a blockage prevents sperm from reaching the ejaculate. During MESA, a high-powered surgical microscope is used to make a small incision in the scrotum, allowing the surgeon to precisely identify and aspirate fluid containing sperm directly from the epididymal tubules. The retrieved sperm are then processed in the IVF laboratory and used immediately for Intracytoplasmic Sperm Injection (ICSI) to fertilize eggs. This procedure offers a high success rate for sperm retrieval in cases of obstruction, providing a viable path to biological fatherhood.

Key Highlights

High success rate for sperm retrieval in obstructive azoospermia.Allows for the retrieval of a large number of motile sperm, which can be cryopreserved for future IVF/ICSI cycles.Performed under magnification for precision, minimizing tissue damage.Enables biological fatherhood for men who would otherwise require donor sperm.Often performed concurrently with female partner's egg retrieval in an IVF cycle.

Who is this surgery for?

Obstructive azoospermia (e.g., due to congenital absence of the vas deferens, prior vasectomy, or infection).
Failed or unsuccessful percutaneous sperm aspiration (PESA) procedures.
When a large quantity of sperm is desired for cryopreservation and multiple future IVF attempts.
As part of a planned IVF/ICSI treatment cycle.

How to prepare

Comprehensive fertility evaluation and diagnosis confirming obstructive azoospermia.
Pre-operative consultations with the urologist and IVF specialist.
Routine pre-anesthetic check-up, which may include blood tests and an ECG.
Patient may be advised to stop certain medications (like blood thinners) prior to surgery.
Fasting for 6-8 hours before the procedure as per anesthesia guidelines.
Arranging for transportation home post-procedure, as driving is not advised.

Risks & possible complications

Bleeding, hematoma (blood collection), or infection at the surgical site.
Minor pain, swelling, or bruising in the scrotum.
Rare risk of injury to surrounding structures like blood vessels or the testicle.
Potential for failure to retrieve viable sperm, though this is uncommon in true obstructive cases.
Risks associated with anesthesia.

Recovery & hospital stay

The procedure is typically done on an outpatient basis or with a very short hospital stay.
Patients can usually go home the same day after a brief observation period.
Apply ice packs to the scrotal area intermittently for the first 24-48 hours to reduce swelling.
Wear supportive underwear (e.g., a jockstrap) for comfort and to minimize swelling.
Avoid strenuous activities, heavy lifting, and sexual intercourse for 1-2 weeks as advised.
Pain is usually manageable with prescribed or over-the-counter pain medication.
Attend a follow-up appointment to check the incision site and discuss the sperm analysis results.

Typical hospital stay: 0-1 days (typically outpatient)
Expected recovery time: 3-7 days for normal activities, 1-2 weeks for strenuous activity

Frequently Asked Questions

If you are considering microsurgical epididymal sperm aspiration in India, these questions and answers can help you make a confident, informed decision.

＋ − Which hospitals are best for microsurgical epididymal sperm aspiration in India?

Top-rated hospitals in India with ivf and reproductive medicine departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.

＋ − How do I choose the right doctor for microsurgical epididymal sperm aspiration?

Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform microsurgical epididymal sperm aspiration. MediFyr helps you compare ivf and reproductive medicines and book consultations online.

＋ − What factors affect the cost of microsurgical epididymal sperm aspiration?

The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.

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Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for microsurgical epididymal sperm aspiration compare across other countries where we have data.

Country	Estimated cost range	Typical stay	Recovery time	View details
India	INR 60 Thousand – 150 Thousand	0-1 days (typically outpatient)	~ 3-7 days for normal activities, 1-2 weeks for strenuous activity	Know More
Turkey	TRY 210 Thousand – 525 Thousand	0-1 days (typically outpatient)	~ 3-7 days for normal activities, 1-2 weeks for strenuous activity	Know More

PATIENT REVIEW

Vihaan Khan, 32, is a software...

Vihaan Khan, 32, is a software engineer from Bangalore. He and his wife, Priya, have been trying to conceive for three years. All initial tests on Priya were normal, but Vihaan's semen analyses repeatedly showed azoospermia (no sperm). Further investigation revealed he had a congenital bilateral absence of the vas deferens (CBAVD), a condition where the tubes that carry sperm are missing. He was otherwise healthy and had no symptoms. His reproductive urologist explained that his testes likely produced sperm, but they couldn't exit. The doctor recommended Microsurgical Epididymal Sperm Aspiration (MESA) as the most effective way to retrieve sperm for use with IVF/ICSI. The procedure was performed under general anesthesia. Vihaan felt anxious but hopeful. He experienced mild soreness and swelling for about a week post-op, managed with pain medication and ice packs. The recovery was straightforward. The MESA was successful, retrieving several vials of good-quality sperm, which were frozen. The couple is now preparing for an IVF cycle with Priya. Emotionally, Vihaan moved from feeling a deep sense of personal failure and guilt to one of empowered participation. Knowing there was a viable path to biological fatherhood lifted a tremendous weight and brought them closer as a team.

IVF and Reproductive Medicines for Microsurgical Epididymal Sperm Aspiration

Explore experienced ivf and reproductive medicines who regularly perform microsurgical epididymal sperm aspiration and provide pre- and post-operative care in India.