Retrieving sperms from epididymis (MESA)

... means microsurgical epididymal sperm aspiration. At this time, specimens are taken from the epididymis. An urologist carries out the intervention. In most cases, this operation can be carried out on outpatient basis.

Mesa in combination with ICSI offers good chances for success. In the most cases, the retrieved sperms are frozen and are thawed again on the day of egg cell retrieval.

MESA is reasonable in the following cases:

• Inoperable blockages of the spermatic duct
• Immotile sperms in the sperm specimen
• Ejaculation disorders resulting from a paraplegia or a radical tumour operation

Reimbursement of costs

Insurance companies can possibly reimburse the MESA costs. The costs of cryoconservation are not reimbursed.