Is TESA procedure painful?

2 fertility expert(s) answered this question

Answer from: Raúl Olivares, MD

Gynaecologist, Medical Director & Owner Barcelona IVF
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This shouldn’t be painful. It is usually done with local anesthesia, we inject some local anesthetics at the testicle levels, and then we carry out the procedure. After the procedure, we give some painkillers and an antibiotic to reduce the risk of infection. Patients usually start leading a normal life in 48 hours.

In cases in which it could be longer, or the patients feel really stressed, it can also be done under sedation. The protocol of painkillers is going to be exactly the same. If because of the clinical condition, and if it’s been really difficult to obtain sperm, we need to take more parts of the testicle, it could be slightly more painful, and the patients may need more painkillers. I would say that in 90-95% of the cases taking painkillers for a  couple of days should be more enough. The patient can start living a completely normal life.

Answer from: Andris Abele, MD

Andrologist EGV Clinic
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+1

Yes, this procedure can be painful therefore it is done under local or intravenous anesthesia. Patients often can have pain and some swelling after the procedure. There may be some swelling, bruising, or small amounts of fluid drainage for a few days as well. Following TESA or TESE procedures, the patient can take over-the-counter pain medications, if needed. Usually, the patient can resume non-vigorous activity after 2 to 3 days.

About this question:

Does TESA procedure hurt?

Testicular Sperm Aspiration (TESA) is a safe procedure that is done under local anaesthesia or sedation depending on the patient’s preference. Does TESA hurt?

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