30+ Years Andrology Expertise
TESA · PESA · MESA · TESE
NABH Certified Lab
Computerised ICSI

Surgical Sperm Retrieval
in Lucknow —
All 4 Techniques. One Expert Team.

No sperm in the ejaculate is not the end of the road. Javitri Hospital’s surgical sperm retrieval programme — TESA, PESA, MESA, and TESE — gives men with azoospermia a genuine, evidence-based path to fatherhood. Transparent costs. Minimal side effects. High success rates.

Call - 9936068274 Book an Appointment →

4 Retrieval
Techniques

90–100%
Retrieval Rate (OA)

4.9★
Google Rating

🩺 TESA · PESA · MESA · TESE
🔬 NABH-Certified Andrology Lab
🖥️ Computerised ICSI
💰 Transparent Cost · EMI Available
📍 Lucknow · Kanpur

Understanding the Procedure

Surgical Sperm Retrieval — What You Need to Know

Surgical sperm retrieval is a group of minimally invasive male infertility surgery procedures used to obtain sperm directly from the testes or epididymis in men with no sperm in their ejaculate (azoospermia). The four main techniques — TESA, PESA, MESA, and TESE — are day-care procedures performed under local anaesthesia. Surgical sperm retrieval side effects are mild and temporary. Surgical sperm retrieval cost at Javitri Hospital is fully transparent and discussed at the first consultation. Surgical sperm retrieval success rates reach 90–100% for obstructive azoospermia and 40–60% for non-obstructive azoospermia.

At Javitri Hospital, all four surgical sperm retrieval techniques are available under one roof — meaning the correct procedure is always chosen based on your specific diagnosis rather than what a particular clinic offers. Retrieved sperm are processed immediately in our NABH-certified andrology lab and used with computerised ICSI for the highest possible fertilisation outcome.

Furthermore, our team’s 30+ years of male infertility surgery expertise ensures that even the most challenging non-obstructive azoospermia cases are approached with precision, care, and honest guidance about realistic expectations.

Surgical Sperm Retrieval — At a Glance
Techniques Available TESA · PESA · MESA · TESE
Procedure Type Day-care · Minimally invasive
Anaesthesia Local / Light sedation
Duration 20–60 minutes
Side Effects Mild, resolve in 3–5 days
Recovery Back to work in 2–3 days
Success Rate (OA) 90–100%
Success Rate (NOA) 40–60% (Micro-TESE)
Used With ICSI + IVF
Lab Certification NABH · ISAR · ISO
Free Consultation ✓ Yes

The 4 Techniques

TESA · PESA · MESA · TESE — Which Surgical Sperm Retrieval Is Right for You?

The correct technique is determined at consultation based on your semen analysis, hormonal profile, and scrotal ultrasound findings.

Who Needs

ThisWho Is a Candidate for Surgical Sperm Retrieval?

Success Rates & Side EffectsSurgical

Sperm Retrieval Success Rates & Side Effects — The Facts

  Surgical Sperm 
Retrieval Success Rates

TESA — Obstructive Azoospermia                              90–100%

PESA — Obstructive Azoospermia                             85–100%

MESA — Obstructive Azoospermia                            90–100%

TESE — Non-Obstructive Azoospermia                     40–60%

Micro-TESE — Non-Obstructive Azoospermia          50–65%

Fertilisation Rate (Retrieved Sperm + ICSI)             60–80%

Surgical sperm retrieval success rates at Javitri Hospital are supported by our computerised ICSI technology and NABH-certified sperm processing. Results vary by individual diagnosis.

  Surgical Sperm 
Retrieval Side Effects

Mild scrotal discomfort — the most common surgical sperm retrieval side effect. Typically resolves within 2–4 days with simple painkillers.

 Minor bruising or swelling — localised to the scrotum, resolves within 5–7 days. Supportive underwear and ice packs help.

 Minor bleeding risk — rare with TESA/PESA; slightly higher with open TESE but managed intraoperatively by the surgeon.

 Infection risk — very low. A short course of prophylactic antibiotics is routinely given to minimise this surgical sperm retrieval side effect.

 Temporary reduction in testosterone — possible after TESE due to testicular tissue biopsy. Monitoring and support is provided where needed.

 Return to normal activity — most men return to desk work within 2–3 days. Strenuous activity is avoided for 5–7 days.

Transparent Pricing

Surgical Sperm Retrieval Cost at Javitri Hospital

All surgical sperm retrieval cost is quoted transparently at consultation — with no hidden charges. Exact pricing depends on technique, anaesthesia, and whether ICSI is performed in the same cycle. EMI options available for all packages.

TESA
Testicular Sperm Aspiration

₹15,000 – ₹25,000
Procedure fee only. ICSI and IVF cycle costs quoted separately. Day-care. Local anaesthesia.

PESA
Percutaneous Epididymal Aspiration

₹15,000 – ₹28,000
Procedure fee only. Commonly combined with a fresh ICSI cycle. Day-care. Local anaesthesia.

MESA
Microsurgical Epididymal Aspiration

₹25,000 – ₹50,000
Microsurgical technique. Higher sperm yield for cryopreservation. Spinal or light GA. Day-care.

TESE
Testicular
Sperm
Extraction

₹30,000 – ₹65,000
For non-obstructive azoospermia. Micro-TESE at higher end. Spinal or light GA. Day-care.

💡 All-inclusive packages (surgical sperm retrieval + ICSI + IVF) are available and quoted at your first consultation. EMI options make treatment affordable with zero-cost financing available through partner institutions. Call +91-73885-78889 to discuss surgical sperm retrieval cost for your specific case — with no obligation.

Your Surgical Sperm Retrieval Journey — Step by Step

1

Consultation & Evaluation

Semen analysis, hormonal profile, scrotal ultrasound, and DNA fragmentation testing. The type of azoospermia is confirmed.

2

Technique Selection

The correct surgical sperm retrieval technique (TESA/PESA/MESA/TESE) is chosen based on diagnosis. Cost and success rates are discussed honestly.

3

Day-Care Procedure

Performed under local anaesthesia or light sedation. Takes 20–60 minutes. No overnight stay required in most cases.

4

Lab Processing & ICSI

Retrieved sperm are processed in our NABH-certified andrology lab immediately. Viable sperm are used fresh with ICSI or cryopreserved.

5

IVF & Pregnancy

ICSI fertilises the egg using retrieved sperm. Embryos are transferred in the same or subsequent IVF cycle. Pregnancy test 14 days later.

The Embryoscope, How It Improves Blastocyst Culture

Before the Procedure

Thorough preparation ensures the highest possible surgical sperm retrieval success rate and minimises side effects.

✓ Semen Analysis & Hormone Profile — confirmed azoospermia, FSH, LH, and testosterone levels guide technique selection and success rate counselling.
✓ Scrotal Ultrasound — assesses testicular volume, identifies varicocele, obstruction, or testicular abnormality that influences the surgical approach.
✓ DNA Fragmentation Index (DFI) — determines whether surgically retrieved testicular sperm may provide better DNA quality than any residual ejaculated sperm.
✓ Fasting Instructions — light fasting for 4–6 hours before the procedure if sedation or spinal anaesthesia is planned.
✓ Antibiotics — a pre-operative antibiotic dose is given to reduce the risk of infection — minimising this surgical sperm retrieval side effect.
✓ Coordination with IVF Cycle — the surgical retrieval is timed with the female partner’s egg collection cycle where fresh sperm use is planned.

After the Procedure — Recovery & Care
🏠 Same-day discharge Most TESA and PESA patients go home within 2–4 hours. TESE patients may stay overnight in some cases.
💊 Simple pain relief Paracetamol or ibuprofen for 2–3 days is typically all that is needed for post-procedure discomfort.
🩲 Supportive underwear Snug, supportive underwear for 5–7 days reduces scrotal swelling and bruising.
🧊 Ice packs Applied to the scrotum (covered by a cloth) for the first 24 hours to reduce swelling.
💼 Return to work Desk work in 2–3 days. Physical labour or exercise avoided for 5–7 days.
📞 Follow-up call Our team calls the following day to review recovery and confirm sperm retrieval outcome from the andrology lab.

⚠️ If you experience severe pain, fever, or significant swelling after the procedure, contact our team immediately at +91-73885-78889. These are uncommon but should be assessed promptly.

Why Choose Us

Why Javitri Hospital for Surgical Sperm Retrieval in Lucknow?

🩺
All 4 Techniques
Under One Roof

TESA, PESA, MESA, and TESE are all available at Javitri Hospital. Consequently, the right surgical sperm retrieval technique is always selected for your diagnosis — not dictated by what the clinic can offer.

🔬
NABH-Certified
Andrology Lab

Retrieved sperm are processed immediately in our NABH-certified andrology lab — with trained embryologists identifying viable sperm within minutes of collection to maximise the surgical sperm retrieval success rate.

🖥️
Computerised
ICSI

Our computerised ICSI machine injects retrieved sperm into eggs with microscopic precision — improving fertilisation outcomes even when very few sperm are recovered from a TESE procedure.

💰
Transparent
Cost & EMI

Surgical sperm retrieval cost at Javitri Hospital is quoted clearly at the first consultation — with no hidden charges. EMI options make treatment financially accessible for families from across UP and beyond.

🧬
DNA
Fragmentation
Testing

We test DFI before recommending the right sperm source for ICSI. In men with high ejaculate DFI, surgically retrieved testicular sperm often has significantly lower DNA damage — directly improving IVF outcomes.

🏅
30+ Years
of Male Infertility
Surgery Expertise

Dr. Rajul Tyagi’s 30+ years of IVF and andrology experience — with training at Cleveland Clinic USA and Brussels University — means every male infertility surgery case is managed with the highest clinical precision.

Book Your Evaluation

Find Out If Surgical Sperm Retrieval Is Right for You — Start Here

A single consultation gives you a clear diagnosis, the right technique recommendation, transparent cost, and an honest assessment of your individual surgical sperm retrieval success rate.

Semen analysis and azoospermia confirmation
Hormonal profile and scrotal ultrasound
DNA fragmentation index (DFI) testing
Technique recommendation with success rate
Full cost breakdown — no hidden charges

✉info@javitrihospital.co.in

Call - 9936068274 Book an Appointment →

Blastocyst Transfer Success Stories

Show videos and give a button to the video page – View All Patient Stories

What Our Patients Say About Surgical Sperm Retrieval

4.8 Rating on Google | 3,000+ Patient Reviews

Our Google reviews highlight patient experiences with IVF treatment, maternity care, and the support provided by our doctors and staff.

Surgical Sperm Retrieval — FAQs

Surgical sperm retrieval is a group of minimally invasive male infertility surgery procedures used to obtain sperm directly from the testes or epididymis in men with no sperm in their ejaculate (azoospermia). The four main techniques are TESA (Testicular Sperm Aspiration), PESA (Percutaneous Epididymal Sperm Aspiration), MESA (Microsurgical Epididymal Sperm Aspiration), and TESE (Testicular Sperm Extraction). Retrieved sperm are used with ICSI for IVF to achieve fertilisation and pregnancy.

Surgical sperm retrieval side effects are generally mild and temporary. The most common side effects are mild scrotal discomfort, minor bruising, and localised swelling — typically resolving within 3–5 days with simple pain relief. Rare surgical sperm retrieval side effects include minor bleeding, low infection risk (managed with prophylactic antibiotics), and a very small risk of temporary testosterone reduction after TESE. Serious or permanent side effects are uncommon when the procedure is performed by an experienced male infertility surgery specialist. Most men return to normal activity within 2–3 days.

Surgical sperm retrieval is performed under local anaesthesia or light sedation and is not painful during the procedure. The most common post-procedure surgical sperm retrieval side effects are mild scrotal discomfort and minor bruising — typically rated as mild by most patients and well-managed with paracetamol or ibuprofen for 2–3 days. The vast majority of men describe recovery as straightforward and far less discomfort than they anticipated. Serious or prolonged pain is uncommon when the male infertility surgery is performed by an experienced specialist.

Surgical sperm retrieval cost at Javitri Hospital depends on the technique recommended. TESA and PESA procedures typically cost ₹15,000–₹28,000. MESA costs approximately ₹25,000–₹50,000. TESE or Micro-TESE costs ₹30,000–₹65,000. All surgical sperm retrieval cost is quoted transparently at the first consultation — with no hidden charges. When combined with ICSI and IVF, all-inclusive package pricing is available. EMI financing options are available to make male infertility surgery cost accessible for all families.

Javitri Hospital offers Lucknow’s most comprehensive surgical sperm retrieval programme — all four techniques (TESA/PESA/MESA/TESE), NABH-certified andrology lab for same-day sperm processing, computerised ICSI for maximum fertilisation from retrieved sperm, and DNA fragmentation testing. Surgical sperm retrieval side effects are minimised by experienced surgical technique and structured aftercare. Surgical sperm retrieval cost is fully transparent with EMI available. And the highest possible surgical sperm retrieval success rates are supported by Dr. Rajul Tyagi’s 30+ years of male infertility surgery expertise — with training at Cleveland Clinic USA and Brussels University Belgium.

Yes. Sperm retrieved by any surgical sperm retrieval technique can be cryopreserved (frozen) in our NABH-certified andrology lab for use in future ICSI cycles. This is particularly valuable when the retrieval is timed separately from the female partner’s egg collection, or when backup sperm needs to be stored in case of insufficient fresh retrieval. Cryopreservation does not significantly reduce surgical sperm retrieval success rates when used with high-quality ICSI protocols — as practised at Javitri Hospital.

All four are types of surgical sperm retrieval. TESA uses a fine needle to aspirate sperm from the testis — the simplest technique, used for obstructive azoospermia. PESA aspirates sperm from the epididymis percutaneously — best for obstructive azoospermia with a working epididymis. MESA is a microsurgical version of PESA under the operating microscope — higher precision and higher sperm yield. TESE takes small testicular biopsies to extract sperm — used when sperm production is impaired (non-obstructive azoospermia). Micro-TESE uses a microscope to identify active sperm-producing areas, improving success rates in non-obstructive cases.

Surgical sperm retrieval is a day-care procedure. TESA and PESA take 20–30 minutes; MESA takes 30–45 minutes; TESE takes 45–60 minutes. Most patients go home the same day — TESA and PESA patients are typically discharged within 2–4 hours of the procedure. TESE patients may occasionally stay overnight. The surgical sperm retrieval cost quotation always includes the day-care admission and anaesthesia — with no surprises on the day.

Surgical sperm retrieval success rates at Javitri Hospital are among the highest in Lucknow. For obstructive azoospermia, TESA and PESA achieve sperm retrieval rates of 90–100%. MESA achieves 90–100% with the highest sperm yield. For non-obstructive azoospermia, TESE success rates are 40–60% and Micro-TESE achieves 50–65%. When retrieved sperm are used with our computerised ICSI, fertilisation rates of 60–80% are typically achieved. Surgical sperm retrieval success rates are higher when the procedure is combined with DNA fragmentation testing and precise embryology support — both available at Javitri Hospital.

Javitri Hospital offers the most comprehensive male infertility surgery programme in Lucknow. All four surgical sperm retrieval techniques — TESA, PESA, MESA, and TESE — are available under one roof. Additionally, varicocelectomy (surgical repair of varicocele to improve sperm parameters) is available as a male infertility surgery option where clinically indicated. The right surgical approach is always chosen based on a thorough pre-operative evaluation — not based on which procedure a clinic finds easiest to offer.

Surgical Sperm Retrieval — FAQs

Surgical sperm retrieval is a group of minimally invasive male infertility surgery procedures used to obtain sperm directly from the testes or epididymis in men with no sperm in their ejaculate (azoospermia). The four main techniques are TESA (Testicular Sperm Aspiration), PESA (Percutaneous Epididymal Sperm Aspiration), MESA (Microsurgical Epididymal Sperm Aspiration), and TESE (Testicular Sperm Extraction). Retrieved sperm are used with ICSI for IVF to achieve fertilisation and pregnancy.

Surgical sperm retrieval side effects are generally mild and temporary. The most common side effects are mild scrotal discomfort, minor bruising, and localised swelling — typically resolving within 3–5 days with simple pain relief. Rare surgical sperm retrieval side effects include minor bleeding, low infection risk (managed with prophylactic antibiotics), and a very small risk of temporary testosterone reduction after TESE. Serious or permanent side effects are uncommon when the procedure is performed by an experienced male infertility surgery specialist. Most men return to normal activity within 2–3 days.

Surgical sperm retrieval cost at Javitri Hospital depends on the technique recommended. TESA and PESA procedures typically cost ₹15,000–₹28,000. MESA costs approximately ₹25,000–₹50,000. TESE or Micro-TESE costs ₹30,000–₹65,000. All surgical sperm retrieval cost is quoted transparently at the first consultation — with no hidden charges. When combined with ICSI and IVF, all-inclusive package pricing is available. EMI financing options are available to make male infertility surgery cost accessible for all families.

Surgical sperm retrieval success rates at Javitri Hospital are among the highest in Lucknow. For obstructive azoospermia, TESA and PESA achieve sperm retrieval rates of 90–100%. MESA achieves 90–100% with the highest sperm yield. For non-obstructive azoospermia, TESE success rates are 40–60% and Micro-TESE achieves 50–65%. When retrieved sperm are used with our computerised ICSI, fertilisation rates of 60–80% are typically achieved. Surgical sperm retrieval success rates are higher when the procedure is combined with DNA fragmentation testing and precise embryology support — both available at Javitri Hospital.

Javitri Hospital offers the most comprehensive male infertility surgery programme in Lucknow. All four surgical sperm retrieval techniques — TESA, PESA, MESA, and TESE — are available under one roof. Additionally, varicocelectomy (surgical repair of varicocele to improve sperm parameters) is available as a male infertility surgery option where clinically indicated. The right surgical approach is always chosen based on a thorough pre-operative evaluation — not based on which procedure a clinic finds easiest to offer.

All four are types of surgical sperm retrieval. TESA uses a fine needle to aspirate sperm from the testis — the simplest technique, used for obstructive azoospermia. PESA aspirates sperm from the epididymis percutaneously — best for obstructive azoospermia with a working epididymis. MESA is a microsurgical version of PESA under the operating microscope — higher precision and higher sperm yield. TESE takes small testicular biopsies to extract sperm — used when sperm production is impaired (non-obstructive azoospermia). Micro-TESE uses a microscope to identify active sperm-producing areas, improving success rates in non-obstructive cases.

Surgical sperm retrieval is performed under local anaesthesia or light sedation and is not painful during the procedure. The most common post-procedure surgical sperm retrieval side effects are mild scrotal discomfort and minor bruising — typically rated as mild by most patients and well-managed with paracetamol or ibuprofen for 2–3 days. The vast majority of men describe recovery as straightforward and far less discomfort than they anticipated. Serious or prolonged pain is uncommon when the male infertility surgery is performed by an experienced specialist.

Surgical sperm retrieval is a day-care procedure. TESA and PESA take 20–30 minutes; MESA takes 30–45 minutes; TESE takes 45–60 minutes. Most patients go home the same day — TESA and PESA patients are typically discharged within 2–4 hours of the procedure. TESE patients may occasionally stay overnight. The surgical sperm retrieval cost quotation always includes the day-care admission and anaesthesia — with no surprises on the day.

Yes. Sperm retrieved by any surgical sperm retrieval technique can be cryopreserved (frozen) in our NABH-certified andrology lab for use in future ICSI cycles. This is particularly valuable when the retrieval is timed separately from the female partner’s egg collection, or when backup sperm needs to be stored in case of insufficient fresh retrieval. Cryopreservation does not significantly reduce surgical sperm retrieval success rates when used with high-quality ICSI protocols — as practised at Javitri Hospital.

Javitri Hospital offers Lucknow’s most comprehensive surgical sperm retrieval programme — all four techniques (TESA/PESA/MESA/TESE), NABH-certified andrology lab for same-day sperm processing, computerised ICSI for maximum fertilisation from retrieved sperm, and DNA fragmentation testing. Surgical sperm retrieval side effects are minimised by experienced surgical technique and structured aftercare. Surgical sperm retrieval cost is fully transparent with EMI available. And the highest possible surgical sperm retrieval success rates are supported by Dr. Rajul Tyagi’s 30+ years of male infertility surgery expertise — with training at Cleveland Clinic USA and Brussels University Belgium.

Explore Related Male Infertility Treatments

Surgical Sperm Retrieval Clinics — Lucknow & Kanpur

All three centres are equipped with advanced fertility labs, dedicated consultation rooms, and experienced fertility specialists, so you can receive world-class care close to home.

Lucknow – Telibagh
Main Hospital & IVF Lab

Address : Raebareli Road, Telibagh, Lucknow – 226025

Phone : 9936068274

Hours : Mon–Sat: 24 hours

Services : IVF, IUI, ICSI, NICU, High-Risk Pregnancy, Delivery

Get Direction

Lucknow – Badshahnagar
Fertility Clinic & OPD

Address : Center Cross Road, Plaza Badshahnagar, Lucknow

Phone : 9936068274

Hours :Mon–Sat: 24 hours

Services :IVF Consultations, IUI, Fertility Assessment, Gynaecology

Get Direction

Kanpur – Swaroop Nagar (NEW)
IVF & Fertility Clinic

Address : Near Moti Jheel Metro Station, Swaroop Nagar, Kanpur

Phone : 9936068274

Hours : Mon–Sat: 24 hours

Services :IVF, IUI, ICSI, Fertility Consultations, Gynaecology

Get Direction

Surgical Sperm Retrieval in Lucknow — Expert Male Infertility Surgery at Javitri Hospital

All 4 Surgical Sperm Retrieval Techniques


Javitri Hospital is Lucknow’s most comprehensive centre for surgical sperm retrieval — offering TESA, PESA, MESA, and TESE under one roof with same-day sperm processing in our NABH-certified andrology lab. Surgical sperm retrieval success rates are maximised by combining precise surgical technique with computerised ICSI and expert embryology.

Furthermore, our transparent approach to surgical sperm retrieval cost — with all-inclusive packages and EMI financing — means financial concerns never prevent a couple from accessing the male infertility surgery they need. Surgical sperm retrieval side effects are minimised through careful surgical technique and structured post-procedure care.

Expert Male Infertility Surgery Specialists


Every surgical sperm retrieval at Javitri Hospital is performed under the supervision of Dr. Rajul Tyagi — 30+ years of IVF and andrology experience, trained at Cleveland Clinic Ohio, USA and University Hospital Brussels, Belgium. Our team has managed some of the most complex non-obstructive azoospermia cases referred from across Uttar Pradesh and neighbouring states.

To find out whether surgical sperm retrieval is right for your case, call +91-73885-78889 or email info@javitrihospital.co.in.

Expert Surgical Sperm Retrieval at Javitri Hospital


All 4 techniques. NABH-certified lab. Transparent cost. High success rates. One call to begin.

Book Free Consultation →  Call +91-9936068274

✉ info@javitrihospital.co.in | 3 Clinics · Lucknow & Kanpur