Exploring your options for Surgical Sperm Retrieval (TESA / TESE / PESA / micro-TESE) in India? Ginger Healthcare brings together a carefully chosen panel of reputed fertility specialists, practising at world-class hospitals accredited by JCI and NABH. Request a free opinion and a cost estimate from any doctor on the list, and our team will guide you through every step of your journey.
Here are the most reputed doctors in India for Surgical Sperm Retrieval (TESA / TESE / PESA / micro-TESE). Each specialist is carefully vetted for their expertise, experience, and patient outcomes.
Here are the most reputed hospitals in India for Surgical Sperm Retrieval (TESA / TESE / PESA / micro-TESE). These hospitals are known for advanced infrastructure, international accreditations, and high success rates.
Surgical sperm retrieval is a group of short procedures used to collect sperm directly from the testicles or epididymis when sperm cannot be found in an ejaculated semen sample, or when ejaculation is not possible — a condition known as azoospermia. The four main techniques are PESA (percutaneous epididymal sperm aspiration), TESA (testicular sperm aspiration), TESE (testicular sperm extraction), and micro-TESE (microsurgical testicular sperm extraction), each differing in invasiveness, anaesthesia required, and the clinical scenario in which it is used. Simpler needle-based techniques such as PESA and TESA are performed under local anaesthetic and take under an hour, while micro-TESE uses an operating microscope under general anaesthetic and is recommended for non-obstructive azoospermia where localised pockets of sperm production must be identified. The sperm retrieved are used with IVF and ICSI, giving many men with azoospermia a path to biological fatherhood.
A fine needle is passed through the scrotal skin into the epididymis under local anaesthetic to draw out sperm-containing fluid — the simplest and quickest of the four techniques.
Estimated cost: ~$200 – $500
Typical tests for this variant: Semen analysis with centrifugation (to confirm azoospermia), Hormone panel — FSH, LH, Testosterone, Scrotal ultrasound, HIV, Hepatitis B & C screening, CBC, Blood group and Rh typing. Done in India before hospital admission.
Estimated cost in India: $500 – $1,000
Pre-procedure stay (outside hospital): ~1 days
Hospitalisation: ~1 days
Recovery period (outside hospital): ~2 days recommended
Total stay: approx 4 days
A needle is inserted directly into the testicle under local anaesthetic to aspirate tissue and fluid, providing a straightforward way to retrieve sperm from the testicle itself.
Estimated cost: ~$200 – $500
Typical tests for this variant: Semen analysis with centrifugation (to confirm azoospermia), Hormone panel — FSH, LH, Testosterone, Scrotal ultrasound, HIV, Hepatitis B & C screening, CBC, Blood group and Rh typing. Done in India before hospital admission.
Estimated cost in India: $500 – $1,000
Pre-procedure stay (outside hospital): ~1 days
Hospitalisation: ~1 days
Recovery period (outside hospital): ~2 days recommended
Total stay: approx 4 days
A small incision is made in the scrotum to expose the testicle, from which one or more tissue samples are removed and searched for sperm — more tissue yield than needle-based techniques.
Estimated cost: ~$200 – $500
Typical tests for this variant: Semen analysis with centrifugation (to confirm azoospermia), Hormone panel — FSH, LH, Testosterone, Scrotal ultrasound, HIV, Hepatitis B & C screening, CBC, PT/INR (if general anaesthetic planned), Blood group and Rh typing. Done in India before hospital admission.
Estimated cost in India: $1,000 – $1,500
Pre-procedure stay (outside hospital): ~2 days
Hospitalisation: ~1 days
Recovery period (outside hospital): ~3 days recommended
Total stay: approx 6 days
The testicle is opened under an operating microscope at high magnification so the surgeon can identify and selectively remove the tubules most likely to contain sperm — the recommended approach for non-obstructive azoospermia.
Estimated cost: ~$200 – $500
Typical tests for this variant: Semen analysis with centrifugation (to confirm azoospermia), Hormone panel — FSH, LH, Testosterone, Prolactin, Scrotal ultrasound, Karyotype and Y-chromosome microdeletion test (if not done), HIV, Hepatitis B & C screening, CBC, PT/INR, Blood group and Rh typing. Done in India before hospital admission.
Estimated cost in India: $1,500 – $3,000
Pre-procedure stay (outside hospital): ~2 days
Hospitalisation: ~1 days
Recovery period (outside hospital): ~4 days recommended
Total stay: approx 7 days
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