Treatment Options

Epididymal Sperm Aspiration

Testicular Epididymal Sperm Aspiration (TESA)

This procedure is used where there is no sperm in the ejaculation. It is a surgical procedure to obtain sperm from within the testicular tissue and is usually carried out by a urologist under local anesthetic.

It involves making a small incision into the testicle to remove a sample of testicular tissue to examine it for sperm. Any excess sperm can then be frozen to be used in further IVF treatment at a later date.

The procedure is recommended for men without the sperm carrying tube (Vas Deferens) or who have blocked tubes or have had a vasectomy.

Who Are the Surgeons?

NCCRM works closely with Board Certified Urologist Dr. Kevin Khoudary from Cary Urology. He has extensive experience in treating all areas of male factor infertility. In conjunction with his practice, Dr. Khoudary performs procedures both at NCCRM’s office in Cary as well as at his practice.

To learn more or schedule a consultation:
Call (919) 233-1680 or


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