For men with low sperm counts or azoospermia, micro-TESE offers a solution. This high-precision surgical technique involves recovering sperm cells directly from the testicles. These cells are then used in IVF-ICSI to enable conception.
- Men with non-obstructive azoospermia (absence of sperm in the ejaculate).
- PESA (epididymal aspiration).
- Between 1 and 2 hours.
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Micro-TESE: What is it?
Micro-TESE is a cutting-edge surgical technique used in Turkey to retrieve sperm directly from the testicles.
It is recommended for men with low sperm counts or azoospermia (complete absence of sperm in ejaculated semen). Using an operating microscope, the surgeon identifies and removes the seminiferous tubules containing the spermatozoa. These are then used to perform IVF-ICSI, an assisted fertilization technique that injects a single sperm directly into the egg.
MicroTESE thus offers a chance of conceiving a child to many couples facing male fertility difficulties.
Diagnosis prior to micro-TESE
To establish the diagnosis of non-obstructive azoospermia and assess the chances of success of a micro-TESE, a series of tests are carried out:
- Spermogram: This is used to analyze the semen and detect the absence of spermatozoa.
- Hormonal assessment: This test evaluates the functioning of the hormones involved in sperm production.
- Scrotal ultrasound: assesses the size, shape and structure of the testicles, as well as the permeability of the spermatic ducts, to identify any obstructive causes of azoospermia.
- Other complementary tests: Depending on the case, other tests may be prescribed, such as molecular genetics or exploratory testicular biopsy.
Once the diagnosis has been established, a consultation with a urologist specialized in fertility is essential. This specialist will explain the microTESE procedure in detail, its advantages and risks, and answer any questions you may have.
Who is Micro-TESE recommended for?
Micro-TESE is a reference technique indicated mainly for men suffering from non-obstructive azoospermia. This condition is characterized by the absence of spermatozoa in the ejaculate despite a functional genital tract.
The causes of this azoospermia are multiple and can include:
- Genetic factors (chromosomal abnormalities, mutations).
- Vascular problems (varicocele).
- Infections (mumps, urinary tract infections).
- Trauma or the after-effects of treatments such as chemotherapy or radiotherapy.
Preparing for microTESE
Before undergoing micro-TESE, the patient receives a full medical check-up, including hormone analyses, a spermogram and a scrotal ultrasound. These examinations enable us to assess the patient's general state of health, identify any contraindications and confirm the diagnosis of non-obstructive azoospermia.
An in-depth consultation with a urologist is also necessary to explain the procedure in detail, answer any questions the patient may have and obtain informed consent.
Procedure for Micro-TESE in Turkey
Micro-TESE is a surgical procedure performed to retrieve sperm directly from the testicles. In Turkey, it is usually performed under local anaesthetic, but general anaesthesia can be offered depending on the patient's needs.
During the operation, a small incision is made in the scrotum to access the testicles. Using an operating microscope, the surgeon carefully removes tiny fragments of testicular tissue. These samples are then analyzed in the laboratory to identify and extract the sperm that will subsequently be used for in vitro fertilization (IVF).
MicroTESE is often performed on an outpatient basis, which means you can often go home the same day.
After the procedure
After a micro-TESE, a few hours' rest are recommended to promote recovery. Mild pain may occur, but is generally well controlled with analgesics.
Regular medical follow-up is necessary to assess wound healing and ensure optimal recovery.
Results of testicular sample analysis, indicating the presence or absence of spermatozoa, are generally available a few days after the operation.
Convalescence and recovery
Recovery from micro-TESE is generally rapid. Intense physical exercise should be limited for a few weeks to promote recovery.
Resumption of a normal sex life is possible after a few weeks, subject to the doctor's advice.
Micro-TESE: Benefits & complications
In the face of azoospermia, micro-TESE is the solution of choice. This high-precision surgical technique makes it possible to locate and retrieve sperm, even in very small quantities. Thanks to an individualized approach, it offers infertile men new prospects for conceiving a child.
The benefits of microTESE :
- A proven technique: Thousands of men have already benefited from micro-TESE and have been able to realize their plans for fatherhood.
- Encouraging results: The sperm recovery rate is high, offering a real chance of success.
- A minimally invasive procedure: Risks are low, and the post-operative period is generally well tolerated.
Complications of microTESE are exceptional, and are often limited to minor inconveniences such as slight bleeding or swelling. The risk of infection is low, and can easily be controlled with antibiotic treatment.
In rare cases, no sperm can be recovered.
Micro-TESE in Turkey
Do you suffer from azoospermia? Consider Turkey for your micro-TESE and benefit from recognized expertise in the field of reproductive medicine.
Benefit from the latest advances in male fertility with a treatment plan tailored to your specific needs.
Our partner clinics offer high-quality care in a comfortable, welcoming environment.
Request your free quote and benefit from a free initial teleconsultation.
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