What is MESA?

Microsurgical epididymal sperm aspiration (MESA) is an open surgical sperm retrieval procedure that uses an operating microscopy to locate the tubules of the epididymis precisely, so that large numbers of sperm can be extracted.

When to go for MESA?

This technique works well in conditions where sperm is being produced in adequate numbers but are blocked from traveling from the testicle to the ejaculate in below cases: