Is TESA / PESA procedure Painful? Immediately post the TESA procedure, there might be slight pain over the injection site which may feel exactly like a pin prick. Pain killers may be given for a day or two after the surgical sperm retrieval or TESA. Patients usually feel comfortable within two days of procedure.
It's a quick and relatively painless procedure that's usually performed under local anaesthetic. TESE involves making an incision into the testicle to take a small sample (biopsy) away from which sperm can hopefully be recovered. TESE can be performed under local or general anaesthetic.
What will happen during a testicle biopsy? You may be given local anesthesia to numb the area. With local anesthesia, you may still feel pressure or pushing, but you should not feel pain. You may instead be given general anesthesia to keep you asleep and free from pain during the procedure.
Testicular sperm aspiration (TESA) TESA is a procedure performed for men who are having sperm retrieved for IVF/ICSI. It is done with local anesthesia in the operating room or office and is coordinated with their female partner's egg retrieval. A needle is inserted in the testicle and tissue/sperm are aspirated.
General anesthesia is used to prevent pain during this EEJ procedure. It makes you unconscious. You do not feel any pain, and you do not remember the procedure afterwards.
PESA is a procedure performed for men who are having sperm retrieved for IVF/ICSI who have obstructive azoospermia from either a prior vasectomy or infection. It is done with local anesthesia in the operating room or office and is coordinated with their female partner's egg retrieval.
You can resume your normal activity 3 days after your procedure. If you develop new pain, or your pain gets worse, as you do more activities, limit your activity until your pain gets better.
Your provider may suggest that you wear an athletic supporter for several days after the biopsy. In most cases, you will need to avoid sexual activity for 1 to 2 weeks. Using a cold pack on and off for the first 24 hours may lessen the swelling and discomfort. Keep the area dry for several days after the procedure.
The procedure is generally safe and carries minimal risks. However, occasionally bleeding may be severe and there is a small risk of infection (orchitis). Very rarely, if the testicular biopsy is done in the presence of testicular cancer, it increases the risk of spread.
The commonest complications are infection or a haematoma (a collection of blood) within the scrotum. A haematoma will usually cause a swelling and deep purple discoloration but the risk of this is minimised by you wearing your scrotal support after your operation.