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.

Sameh Toma

Dr. Sameh K. Toma, M.D.

Medical Director

Dr. Sameh K. Toma, M.D., F.A.C.O.G. is the Medical Director at the North Carolina Center for Reproductive Medicine (NCCRM), bringing over 30 years of specialized experience in reproductive medicine to patients in the Raleigh area. After earning his Bachelor of Science in Electrical Engineering from North Carolina State University, he completed his medical degree and residency at the University of North Carolina at Chapel Hill School of Medicine. 

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