Microsurgical Testicular Sperm extraction (Micro-Tese) is a surgical procedure that takes sperm directly from the testicular tissue in male reproductive system.
Health care provider may recommend microtese if you can not naturally release ofmake enough healthy sperm to concieve a biological child with your partner.
GOALS OF MICRO-TESE PROCEDURE
- To obtain the best quality sperm
- Get enough sperm to fertilize a healthy female reproductive cell (eggs).
- Minimize damage to your reproductive organs.
POTENTIAL COMPLICATIONS OF MICRO-TESE
- Pain or discomfort
- Bleeding
- Hematoma
- Infection
- Scarring
RECOVERY
1- IMMEDIATE POST-UP (0-3 DAYS)
- Rest and avoid standing
- Expect swelling, bruising and discomfort in the scrotal area
- Pain management with medication
- Keep the wound area clean and dry
2- SHORT TERM RECOVERY (3-14 DAYS)
- Avoid heavy weight lifting, standing or strenuous activities
- Avoid sexual activity.
- Follow doctor’s instructions for dressing change
- Attend follow up appointment
FOLLOW-UP
Your doctor will schedule a follow up to check on healing and discuss sperm retrieval outcomes.
Most patients can return to work with in 1-2 weeks
Avoid heavy exercise and Standing For 2-4 weeks
Most people fully recover from Micro-Tese within a few weeks you may need to take a few days off work, longer if you have a physically demanding job.
SUCCESS AND OUTCOMES
Sperms may be used for IVF or Frozen For future use.
Outcomes vary depending on individual conditions
Sucess and outcome after Microtese vary depending on the underlying condition causing Azoospermia.
There are some general stats :-
Sperm retrieval rates:
Obstructive Azoospermia (60-80%)
Non-Abstructive Azoospermia (30-60%)
Pregnancy Rate (with retrieval sperm):
Fresh Sperm : 30-50% per cycle
Frozen Sperm: 20-40%. per cycle
FACTORS INFLUENCING THE SUCCESS & OUTCOME
1- Testicular histology
2- Testicular volume
3- FSH Level
4- Patients Age or Partners age
5- Underlying cause of Azoospermia
