Micro dissection TESE also called micro TESE or m Tese

Microdissection Testicular sperm extraction is a surgical sperm retrieval procedure used in fertility treatment for men who have no sperm in their ejaculate, due to failure of the testis (non obstructive azoospermia) It is a surgical biopsy of the testis where an advanced operating micro dissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.

Features & Benefits
  • Higher sperm retrieval rates
  • Reduced acute post-operative complications
  • Fewer chronic changes to testicular function
  • Fewer complication seen on ultrasound

In our unit we first attempt to retrieve sperms by TESA ,If that fails to get sperms , we then do mapping and if still sperms are not obtained we resort to micro tesa . Alternately , if the patients has failed to get sperms on TESA outside , we would go straight for doing micro tese.

Our unit is one of the leading units in the world, performing Micro TESE. Leading world famous andrologist and Urosurgeon Dr Rupin Shah, does micro TESE in our unit . Many males who have failed to get sperms on TESA in other centres, come to our units , get sperm through micro TESE and manage to have a baby with their own sperms.

Step-by-Step Procedure of Micro-TESE

1. Patients with azoospermia do the blood work up and do
The anesthesia fitness obtained
TESA is first attempted on the patients, which is done under local anesthesia and is a short process.
Micro TESE is performed on the patient with proper prior consent., which is done under general anesthesia under microscope
Dissected seminiferous tubules are sent to lab for sperm retirval.

Common Questions

If you could not find an answer to your query, please contact us.

It takes around 3 hrs to do the procedure.
The procedure can be associated with mild pain and discomfort. But with painkllers it usually settles down. If the pain is too much then consult your doctor.
It is useful in patients with non obstructive azoospermia.
It is advisable to rest for first 48 – 72 hrs.
To wear scrotal support ad advised by your doctor.
To avoid sexual intercourse till you feel completely comfortable.