What is Micro-TESE? How is it Performed?

Micro-TESE is one of the most advanced microsurgical techniques developed for sperm production disorders in men. In this procedure, sperm cells are searched for in testicular tissue through a minor surgical intervention, and if found, they are used in in vitro fertilization treatment. A Life Sağlık Group Urology Specialist, Dr. Mesut Tül, answers common questions about the Micro-TESE procedure. Micro-TESE is an innovative method aimed at retrieving sperm from the testes through a small surgical operation.

Micro-TESE is an advanced surgical method used to obtain sperm from testicular tissue in men with no sperm in their semen (azoospermia). With the help of a microscope, the sperm-producing areas within the testis are examined in detail, and tissue samples are taken directly from areas where sperm are likely to be found. This method has a higher success rate compared to conventional TESE and increases the chance of retrieving sperm.

• In men diagnosed with azoospermia,
• In patients with no sperm production due to previous infections or genetic factors,
• In cases where sperm could not be found previously through TESE or other methods,
• In patients who do not produce sperm after hormonal or surgical treatment.

Micro-TESE is performed under general or local anesthesia. During the procedure, a high-resolution microscope is used to carefully examine the channels within the testis, and tissue samples that may contain sperm are carefully collected. These tissue samples are evaluated in the laboratory to search for sperm cells. The retrieved sperm cells can be preserved using special methods for use in in vitro fertilization treatment.

• Offers a higher chance of finding sperm compared to conventional TESE,
• Causes minimal damage to testicular tissue,
• Microscopic examination allows targeted tissue collection, preventing unnecessary biopsies,
• Provides a promising option for patients with previous unsuccessful sperm retrieval attempts.

The procedure usually takes a few hours, and the patient can be discharged on the same day. Mild pain and swelling may occur after the operation, but these typically return to normal within a few days. Following the care instructions provided by the doctor can speed up the recovery process.

Micro-TESE is an advanced surgical technique that offers an important solution for male infertility. If you have been diagnosed with azoospermia and plan to have children, you can consult a specialist urologist to get detailed information about Micro-TESE.