Micro-TESE (microscopic testicular sperm extraction)

Microscopic testicular sperm extraction (Micro-TESE) is a surgical procedure used to retrieve sperm directly from the testicles of men with non-obstructive azoospermia, a condition in which there is no sperm present in the ejaculate. This procedure is typically used in conjunction with in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) to help couples conceive.

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During Micro-TESE, a small incision is made in the scrotum, and a microscope is used to identify and remove small areas of testicular tissue that may contain sperm. This tissue is then examined under a microscope to identify and isolate viable sperm.

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Micro-TESE is a highly specialized and technically challenging procedure that requires specialized training and expertise. It is typically performed on an outpatient basis under general anesthesia.

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The success rates of Micro-TESE vary depending on several factors, including the age and fertility of the female partner, the quality of the sperm retrieved, and the skill of the medical team performing the procedure. However, Micro-TESE is generally considered to be a highly effective technique for retrieving viable sperm in men with non-obstructive azoospermia.

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After the sperm is retrieved through Micro-TESE, it is typically used in conjunction with assisted reproductive techniques, such as IVF or ICSI, to fertilize an egg and facilitate conception. The success rates of these techniques vary depending on several factors, including the age and fertility of the female partner, the quality of the sperm, and the skill of the medical team performing the procedure.

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Overall, Micro-TESE is a safe and effective option for men with non-obstructive azoospermia who wish to conceive. It is important to discuss the risks and benefits of this procedure with a qualified healthcare provider to determine if it is the right choice for an individual's specific situation.