Microdiscectomy

Home > Microdiscectomy

What is Micro TESE?

Micro TESE, or Microsurgical Testicular Sperm Extraction, is a specialized procedure used to retrieve sperm from the testes in men with severe male infertility. It is commonly recommended for men who have azoospermia, which is a condition characterized by a lack of sperm in the ejaculate. Micro TESE allows doctors to extract sperm directly from the testicular tissue, even when no sperm is present in the semen.

This technique is most often used in cases where a man’s sperm count is low or absent, and traditional sperm retrieval methods have failed. It is considered one of the most advanced and effective treatments for male infertility.

How Does Micro TESE Work?

Micro TESE is performed using advanced microsurgical techniques to locate and extract viable sperm from the testicles. Here’s an overview of the procedure:

Preparation and Anesthesia:
The procedure is typically performed under general anesthesia or local anesthesia with sedation to ensure the patient is comfortable and pain-free during the surgery.
Incision and Accessing the Testicle:
The surgeon makes a small incision in the scrotum to access the testicle. Using high-powered magnification (typically under a microscope), the surgeon carefully examines the tissue and identifies areas of the testicle likely to contain sperm-producing cells.
Sperm Extraction:
Once the testicular tissue is located, the surgeon extracts tiny samples from different parts of the testicle. These samples are then examined under a microscope to identify viable sperm cells.
Sperm Freezing:
If sperm is found, it is carefully extracted and frozen for future use in In Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI), which are assisted reproductive technologies (ART).
Post-Procedure Recovery:
After the procedure, patients typically recover quickly and are able to go home the same day. Mild discomfort and swelling may occur, but it generally subsides within a few days.

Who Should Consider Micro TESE?

Micro TESE is recommended for men with the following conditions:

Azoospermia: A condition where no sperm is found in the semen. This may be due to blocked sperm ducts, testicular failure, or other causes of infertility.
Severe Oligospermia: Low sperm count, particularly when sperm quality is too poor for fertilization.
Previous Failed ICSI Attempts: Men who have undergone Intracytoplasmic Sperm Injection (ICSI) but have been unsuccessful due to low sperm count or sperm quality.
Genetic Conditions: Men with certain genetic conditions, such as Klinefelter syndrome, that affect sperm production.

Benefits of Micro TESE

Increased Sperm Retrieval Rate:
Micro TESE has a high success rate in extracting viable sperm, even when no sperm is present in the ejaculate. The microscopic technique allows the surgeon to examine the testes in great detail, increasing the chances of finding sperm.
Minimally Invasive:
Unlike older methods that required larger incisions, Micro TESE uses a smaller incision, reducing recovery time and the risk of complications.
Improved IVF and ICSI Success:
The sperm retrieved during Micro TESE can be used for IVF or ICSI, both of which offer higher success rates for couples dealing with male infertility.
Preservation of Testicular Tissue:
Micro TESE is designed to minimize damage to the testicular tissue, which can preserve the function of the testes and maintain fertility potential for the future.
Minimal Scarring and Recovery Time:
Since the procedure involves only a small incision, the scarring is minimal, and recovery time is typically short. Most patients can return to their normal activities within a week.

Success Rates of Micro TESE

The success rates of Micro TESE vary based on several factors, including the underlying cause of infertility, the age of the male partner, and the experience of the surgeon. On average, sperm retrieval rates range from 30% to 60%, and in many cases, sperm obtained from this procedure is viable for use in IVF or ICSI.

Factors that influence success rates:

Age of the man: Younger men tend to have higher success rates.
Cause of Azoospermia: Men with obstructive azoospermia (blockages in the sperm ducts) generally have higher success rates than men with non-obstructive azoospermia (testicular failure).
Surgeon’s skill and experience: Highly experienced surgeons in fertility centers have higher sperm retrieval rates.

Recovery and Aftercare

After undergoing Micro TESE, patients will experience:

Initial Recovery:
Most men can go home the same day, though they should rest and avoid strenuous physical activity for about a week. Pain is usually minimal, and any discomfort can be managed with prescribed painkillers.
Post-Procedure Follow-Up:
A follow-up appointment is generally scheduled a few days after the procedure to check for any complications and assess the recovery process.
Sexual Activity:
Patients are advised to avoid sexual activity for a few weeks following surgery to ensure proper healing and prevent infection.
Emotional Support:
Infertility treatment can be emotionally challenging. Seeking support from a counselor or fertility support group is encouraged to help cope with the emotional and psychological aspects of the process.

Risks and Complications of Micro TESE

While Micro TESE is a generally safe procedure, there are some risks involved:

Infection: As with any surgery, there is a risk of infection, though it is rare with proper care.
Bleeding: Some patients may experience mild bleeding or hematoma, which generally resolves on its own.
Testicular Injury: Although the procedure is minimally invasive, there is a small risk of damaging the testicle or surrounding structures.
Failure to Retrieve Sperm: In some cases, sperm may not be retrieved, particularly in cases of non-obstructive azoospermia.

Cost of Micro TESE

The cost of Micro TESE varies depending on factors such as the fertility clinic, geographic location, and additional treatments required (such as IVF or ICSI). On average, the cost for Micro TESE can range from $5,000 to $15,000, excluding the cost of subsequent fertility treatments.

Conclusion: Is Micro TESE Right for You?

Micro TESE can be an excellent solution for men with male infertility issues, particularly those with azoospermia or low sperm count. With a high sperm retrieval success rate and minimal recovery time, it offers hope for couples who wish to have children but have struggled with infertility.

If you are considering Micro TESE, it is essential to consult with a fertility specialist who can evaluate your specific situation, discuss the risks and benefits, and help determine the most suitable treatment plan for you.

How Search My Medical Will Help You

Access to Accredited Facilities: We connect you with top-tier hospitals
and clinics globally, ensuring high standards of care and patient safety
Surgeon Selection: Our network includes highly qualified surgeons with
expertise in your specific procedure, ensuring you receive care from the
best professionals.
Appointment Coordination: We handle all logistics related to
scheduling consultations, pre-operative assessments, and surgical
dates, saving you time and effort.
Travel and Accommodation Arrangements: If your procedure is
overseas, we assist with travel logistics, including flight bookings, hotel
accommodations, and local transportation.
Pre-Operative Support: We guide you through necessary preparations,
including medical evaluations and dietary guidelines, to ensure you are
ready for surgery.
Post-Operative Care: After your procedure, we provide resources and
support for recovery, including follow-up appointments and monitoring
your healing process.
24/7 Assistance: Our dedicated support team is available around the
clock to address any questions or emergencies that may arise during your medical journey.

Latest Post

Opps, No posts were found.

Want to consult about health? Contact Us

We ensure a seamless experience. Our network also provides detailed post-surgery support.

Get in Touch

Get in touch with us for any questions or inquiries. We’re here to help and provide the information you need. Reach out via phone, email, or through our website contact form.