Micro-TESE (Microsurgical Testicular Sperm Extraction) is the gold standard surgical method for men with no live sperm cells in their semen (azoospermia), enabling the retrieval of sperm by examining testicular tissue under an operating microscope.
The Difference Between the Micro-TESE Method and Conventional Biopsy
While conventional TESE involves taking random, blind tissue samples from the testis, the Micro-TESE method uses a surgical microscope that provides 15 to 25 times magnification. Our specialist urologist closely examines the ducts within the testis and selects the wide, opaque tubules that are most likely to produce sperm.“Thanks to Micro-TESE, the chance of finding sperm is increased to 50–60 percent, while tissue damage to the testicle and testosterone loss are minimized.”
Who Is It Suitable For?
- Non-Obstructive Azoospermia (Production-Related): Patients whose sperm production has ceased or is severely reduced due to genetic factors, a history of undescended testicles, or following chemotherapy.
- Cases Where Sperm Cannot Be Found Due to Non-Obstructive Causes.
- Patients Who Have Previously Failed to Achieve Results with Conventional TESE.
Surgical Procedure and Recovery
- The procedure is performed under general anesthesia; the patient feels no pain.
- The procedure takes an average of 1–2 hours. At the same time, specialists in the andrology laboratory examine the tissue samples immediately.
- Once sperm cells are found, they can be frozen and stored or used to fertilize eggs collected on the same day.
- The patient can be discharged on the same day after resting for a few hours and is able to walk upon discharge.