Microscopic testicular sperm extraction (Micro TESE) is a surgical procedure, which involves retrieval of sperms from the testicles. This procedure is recommended for men who are unable to release or produce healthy sperms naturally.
The main aim of this procedure is to obtain an adequate amount of best quality sperms for fertilizing an egg.
Micro TESE is an appropriate option for infertile men. Infertility in men can occur either due to non-obstructive azoospermia (absence of sperms during orgasm due to the failure of sperm production) or obstructive azoospermia (a condition in which the man can produce sperms but is unable to release them). Micro TESE is a good option for men with non-obstructive azoospermia.
PREPARATION BEFORE PROCEDURE
During the first consultation, the doctor will review the medical and medication history of the person. The doctor will tell you about the procedure and its risks. You will be advised to shave all the hair from the scrotum.
Additionally, the person will be advised to follow these instructions:
- Avoid taking aspirin or any other blood-thinners a few days before the surgery
- Quit smoking
- Avoid the consumption of alcohol
- Notify the doctor if you have any implant in the body
- Inform the doctor about the use of current medications
- Do not eat or drink anything at least six to eight hours before the surgery
General anaesthesia is administered to make the person unconscious. Once the anaesthesia is effective, the surgeon will make a small incision in the midline of the scrotum to reach the testicles. The surgeon will now make a small cut on the testicle and collect a small sample of tissue. This sample is sent into the laboratory for examination. Now, with the help of a high-power operating microscope, the embryologist will look for the sperms in the sample. The testis is then closed using a fine dissolvable suture, and the same process will be repeated on the other testicle.
Pain and tenderness at the surgical site are common for a few weeks, which can be managed by taking the prescribed medicines. Like any other surgical procedure, micro TESE also has a risk of bleeding and bruising. In order to prevent the risk, you will be advised to wear reasonably tight underpants instead of boxer shorts for at least two days. Additionally, you will be at a higher risk of post-surgical infection, so you will be advised to take the prescribed antibiotics regularly.
The tips given below may help in quicker recovery:
- Do not lift heavyweights
- Avoid hot baths
- Avoid strenuous activities for a few weeks
- Avoid consumption of alcohol temporarily
- Avoid sex for at least one week
FACTORS AFFECTING COST
The cost of Micro TESE may vary depending on the following factors:
- Location of hospital
- Type of hospital
- Current medication cost
- Follow-up visits
In most cases, the person may get back to his regular activity within one to two weeks after micro TESE.
There is always a chance that the sperms cannot be found. At that time, the couple needs to discuss other possible ways, such as the use of donor sperms as a backup before undergoing any fertility procedures.
The following are the common complications of micro TESE:
- Pain or discomfort at the surgical site
In most cases, the hospital stay for micro TESE is not required. However, based on the patient condition, the doctor will decide whether he requires a hospital stay or not.
Mostly, the extra sperms retrieved during this process are frozen to avoid any further procedure. If micro TESE needs to be done again, then the person should wait for at least 6 to 12 months.