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PESA/TESE can be used in cases involving male sterility with an absence of sperm in semen.
Possible causes are from occlusion of the vas deferens, congenital absence of the vas deferens, problems with ejaculation, previous testicular inflammation due to mumps virus.
Persons with the mentioned problems are unable to have children, except by using donated sperm. With highly advanced technology, we can help men with these problems to have children by perform percutaneous epididymal sperm aspiration (PESA) or testicular epididymal sperm extraction (TESE) to obtain sperm directly from testis for ICSI
PESA is the method of aspiration using small needle piercing through skin onto epididymis to extract sperm.
TESE is performed to obtain small piece(s) of testicular tissue and using microscope to find sperm in the testicular tissue.
After acquiring viable sperm, sperm will be used to fertilize egg by using a micromanipulator by ICSI (Intracytoplasmic Sperm Injection) technique.
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