PESA involves passing a fine needle through the skin into the epididymis to obtain sperm. TESA involves passing a fine needle through the skin directly into the testes and retrieving a small number of the seminiferous tubules themselves.
The cost of the TESA procedure in India will vary from one clinic to the other. If you get treatment from the best fertility clinic in Delhi, the average cost is INR 35,000. The packages will vary depending on the clinic, the infrastructure, the cost of the treatment rooms, additional tests and medications, etc.