Post Vasectomy

Have you or your partner had a vasectomy but you would like to have another baby? We can help. After reading our information, please call us to discuss your options.

Percutaneous Epididymal Sperm Aspiration (PESA)

PESA is a minor procedure in which sperm is aspirated (with the use of a small needle) from the area of the testicle where sperm is stored (epididymis). This is usually performed in men who have blockage of the tubes (vas deferens) that allow sperm to travel from the testicles out through penis with ejaculation. This procedure is most commonly performed in men who have had a prior vasectomy and are not good candidates for vasectomy reversal or do not want to undergo a major surgery to attempt pregnancy again. Due to the smaller amount of sperm retrieved through this method, in vitro fertilization (IVF) would need to be done in order to attempt pregnancy. This procedure is done under mild intravenous (IV) sedation and local anesthetic (numbing) to the testicle. PESA is performed as an outpatient procedure with very rapid recovery and the patient is able to return to work in 1-2 days with only mild soreness afterwards.

Testicular/Epididymal Sperm Extraction (TESE)

TESE is a more involved surgical procedure in which an incision is made in the scrotum (skin over the testicle) and then sperm is taken from either the epididymis or from the testicle itself in order to extract sperm. This is normally performed in men who are azoospermic (no sperm in ejaculate) but have no blockage (non-obstructive). Again, due to the small amount of sperm retrieved, IVF would be needed in order to attempt pregnancy with partner. TESE is also done as an outpatient procedure with IV sedation and local numbing medication but recovery will be longer, 3-5 days or more, due to the incisions. TESE may also be performed if PESA is not successful in cases of men who have had a prior vasectomy.

Both of these procedures are available at Piedmont Reproductive Endocrinology Group (PREG).