Micro TESE

Micro TESE is an advanced sperm retrieval technique that involves using a high-powered microscope to identify and extract sperm from the testes. Unlike traditional sperm extraction methods, which may be invasive and less precise, Micro TESE is designed to target areas of the testes that have a higher chance of containing viable sperm. The use of microsurgical tools and a microscope ensures a more refined, less invasive approach, increasing the chances of finding sperm and improving the outcomes of subsequent fertility treatments.

Micro TESE is particularly helpful for men with non-obstructive azoospermia (NOA), where sperm production in the testes is impaired. In such cases, sperm may still be present in the testicular tissue, but traditional sperm retrieval techniques often fail to locate it. Micro TESE, with its enhanced precision, significantly improves the chances of retrieving viable sperm for use in In Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI).

The Micro TESE procedure is highly specialized and involves the following steps:

• Consultation and Pre-Procedure Evaluation: Before performing Micro TESE, a fertility specialist will conduct a thorough evaluation. This includes blood tests, semen analysis, and possibly genetic screening. An ultrasound of the testes may also be performed to assess testicular health and guide the procedure.

• Anesthesia: Micro TESE is typically done under general anesthesia, ensuring that the patient remains completely relaxed and pain-free during the procedure. This is crucial as the procedure involves making small incisions and using a microscope for precision.

• Microsurgical Sperm Retrieval: The surgeon makes a small incision in the scrotum and uses a microscope to carefully examine the testicular tissue. Using fine microsurgical tools, the surgeon extracts small pieces of tissue from various parts of the testes. These tissue samples are then examined under the microscope to identify areas where sperm may be present.

• Sperm Collection and Analysis: Once sperm is identified, it is collected and processed for use in assisted reproductive technologies, such as IVF or ICSI. If viable sperm is retrieved, it is immediately used for fertilization. If no sperm is found, additional tissue samples may be taken to maximize the chances of retrieval.

• Post-Procedure Care: After the procedure, patients are monitored for any immediate complications. The recovery process typically takes a few days, with mild swelling or discomfort in the scrotum being common. Most men can return to their regular activities within a few days, but strenuous exercise should be avoided for a week or two.

Micro TESE is recommended for men who are experiencing infertility due to one of the following conditions:

• Non-Obstructive Azoospermia (NOA): Men who have a complete absence of sperm in their semen despite normal testicular function. Micro TESE is often recommended when traditional sperm retrieval methods fail.

• Testicular Failure or Low Sperm Production: In cases where sperm production is severely compromised, Micro TESE increases the chances of retrieving viable sperm from the testes.

• Genetic Issues: Some genetic conditions, like Klinefelter syndrome, can lead to azoospermia. Micro TESE can help retrieve sperm, even in these challenging cases.

• Failed Sperm Retrieval: If a patient has previously undergone sperm retrieval procedures like percutaneous sperm aspiration (PESA) or testicular sperm aspiration (TESA) with no success, Micro TESE may be recommended as a more advanced option.
  

• Higher Success Rates: The use of a microscope allows for greater precision, enabling the surgeon to locate sperm-producing areas of the testes that are often missed with other techniques. This increases the chances of retrieving viable sperm, especially in cases of non-obstructive azoospermia.

• Less Invasive: Compared to traditional sperm retrieval methods, Micro TESE is minimally invasive, requiring only a small incision. This reduces the risk of complications and promotes faster recovery.

• Improved Fertility Outcomes: When combined with assisted reproductive technologies like IVF or ICSI, Micro TESE significantly improves the chances of successful fertilization and pregnancy, even in cases of severe male infertility.

• Viable Option for Genetic Disorders: For men with genetic disorders that impact sperm production, Micro TESE offers a reliable way to retrieve sperm directly from the testes, allowing for the possibility of biological children.
  

While Micro TESE is a safe procedure, there are some potential risks and side effects to be aware of:

• Infection: As with any surgical procedure, there is a slight risk of infection at the incision site.

• Testicular Damage: Although the procedure is minimally invasive, there is a small risk of damage to the testicular tissue, which could affect future fertility.

• Scarring or Swelling: Some men may experience mild swelling or scarring after the procedure, though this usually resolves within a few weeks.

• Emotional Impact: Undergoing fertility treatments can be emotionally challenging for many men and couples. It's important to seek support from a fertility counselor or support group to navigate the process.
  

The success rate of Micro TESE largely depends on the underlying cause of infertility, the quality of the testicular tissue, and the experience of the surgical team. Success rates are typically higher in cases of obstructive azoospermia, where sperm production is normal but blocked. For men with non-obstructive azoospermia, success rates can vary, but many men are able to achieve successful sperm retrieval through this procedure.

The cost of Micro TESE treatment in Chennai varies based on the clinic or hospital, as well as the complexity of the case. Typically, the procedure can cost between INR 50,000 and INR 1,00,000. Additional costs may be incurred for sperm processing, IVF/ICSI procedures, and follow-up treatments. It's best to consult with a fertility specialist to get an accurate estimate based on individual needs.

Micro TESE is a revolutionary procedure that offers hope to men struggling with severe infertility issues, including azoospermia. This minimally invasive technique uses a microscope for precise sperm retrieval from the testicular tissue, improving the chances of success when combined with IVF or ICSI. In Chennai, Micro TESE is transforming the fertility landscape, providing men with a viable option to become biological fathers even in the most challenging fertility situations. If you're considering Micro TESE, consult with an experienced fertility specialist to determine if it’s the right choice for you.