Microsurgical Testicular Epididymal Sperm Extraction (Micro TESE)/ Sperm Retrieval

Overview of the Procedure

Men who are azoospermic and also have sperm production issues can undergo the microTESE procedure. Under general anaesthesia, microTESE is carried out in the operating room beneath the operating microscope.

About the Procedure

Microsurgical testicular sperm extraction is usually performed to extract sperm from the seminiferous tubules of a male testis. It is prescribed to men who have non-obstructive azoospermia(NOA), a frequent cause of male infertility in which a man cannot generate sufficient sperm to produce a detectable quantity in their semen.

Who Qualifies for the Procedure

Doctors would typically advise microTESE in the following circumstances:

  • if a man has a sufficient testosterone level in his blood following a hormone test as well as other tests show that their testicles are not producing enough sperm normally.
  • if a man is still azoospermic despite having received treatment & having normal testosterone levels for a minimum of four months.

Why the Procedure is conducted

Men who really are azoospermic & also have sperm production issues can undergo the microTESE treatment. Under general anaesthesia, microTESE is carried out in the operating room beneath the operating microscope.

Benefits of the procedure

Micro TESE does, as planned, provide several clinical benefits over TESE:

  • higher rates of sperm retrieval
  • decreased serious postoperative complications
  • less persistent modifications to testicular function
  • ultrasound scans show fewer complications.

Risks and Complications in the Procedure

Bleeding, infection, severe pain, or discomfort following the operation are all potential complications of the microTESE surgery. The testicle itself may very rarely be harmed in the course of the treatment. Testicular anomalies & tissue scarring can be brought on by TESE. Testicular atrophy & fibrosis may result from the operation, which can also induce testicular fibrosis & inflammation.

An individual can lower their risk during the procedure by going to the right IVF facility, Apollo Fertility near Banjara Hills.

Conclusion

We came to the conclusion that microTESE is a viable alternative to non-microsurgical techniques for males with infertility caused by NOA (non-obstructive azoospermia) that is both efficient and safe. However, there aren't enough high-quality, head-to-head comparative randomized controlled trials by sperm retrieval method that examine SRR, live birth rate, as well as the long-term adverse events as well as the health of kids born utilizing testicular sperm from NOA (non-obstructive azoospermia) patients. Therefore, more investigation is needed to ascertain the entire clinical consequences of micro-TESE in the management of male infertility

1. Micro TESE: Is it worthwhile?

Due to its likely greater success rate & reduced risk of testicular injury, Micro-TESE (was initially reported by Schlegel) is currently regarded as the industry standard sperm retrieval procedure. A surgical microscope is used to identify dilated seminiferous tubules, which may contain spermatozoa.

2. Who qualifies for the procedure?

In these circumstances, doctors would typically advise microTESE: if a guy has a sufficient testosterone level in his blood following a hormone test as well as other tests show that their testicles are not producing enough sperm normally. if a guy is still azoospermic despite having received treatment & having normal testosterone levels for a minimum of four months.

3. Why is the procedure conducted?

It is the most severe type of male infertility brought on by either inadequate gonadotropin production or intrinsic testicular failure. However, men who have been diagnosed with NOA might have a chance to become biological parents through microsurgical testicular sperm extract (microTESE). Apollo Fertility Centre near Banjara Hills, a skilled team of professionals helps their patients by carefully hearing about their issues, understanding the root of their infertility, & providing the finest guidance attainable.

4. What are the benefits of the procedure?

The benefit of MICRO TESE over other surgical sperm retrieval techniques is that because the treatment is carried out under direct microscopic vision, there are better possibilities that sperms found in small pockets rather than all through the entire testes would be recovered.

5. What are the complications in the procedure?

Bleeding, infection, severe pain, or discomfort following the operation are all potential complications of the microTESE surgery. The testicle itself may very rarely be harmed in the course of the treatment. An individual can lower their risk during the procedure by going to the right IVF facility that is Apollo Fertility near Banjara Hills. Testicular anomalies & tissue scarring can be brought on by TESE. Testicular atrophy & fibrosis may result from the operation, which can also induce testicular fibrosis & inflammation.

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