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Microsurgical Testicular Sperm Extraction (Micro Tese)

What is Micro-Tese?

Micro-Tese is a careful method which has been created to identify sperms in the balls of men with strange or poor production.

Micro Tese is a microsurgical technique and a magnificent headway in male conceptive medical procedure miniature Tese has essentially further developed sperm recovery rates in Azoospermic patients. It is an infertility treatment for men with non-obstructive azoospermia, a common cause of male infertility.

Micro Tese (Azoospermia)

Micro-Tese Cycle

Embarking on an Micro-Tese cycle at Australian Concept Infertility Center is a structured process designed to optimize the chances of achieving a successful pregnancy. Here’s a detailed breakdown of each stage within an Micro-Tese Cycle:

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Micro-Tese Procedure

Micro-Tese is performed under spinal or general anesthesia. It is painless, due to minimal invasion, Testicles are examined through Micro Dissecting Microscope to detect active sperms producing tubules a very small volume of testicular tissues is obtained and immediately examine under a microscope. The testes are closed with fine Sutures. It is a day care procedure and patient discharged on the same day.

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1. Initial Consultation and Evaluation:

Comprehensive Assessment: Initiate the Micro-TESE process with a thorough consultation, including a detailed evaluation of the patient’s medical history, reproductive health, and prior fertility treatments.
Diagnostic Testing: Conduct diagnostic tests, including semen analysis, hormonal assessments, and imaging studies, to confirm non-obstructive azoospermia.

2. Confirmation of Non-Obstructive Azoospermia:

Semen Analysis: Confirm the absence of sperm in the ejaculate through semen analysis, indicating non-obstructive azoospermia.
Hormonal Assessment: Evaluate hormone levels to understand the hormonal factors influencing sperm production.

3. Micro-TESE Planning:

Individualized Planning: Plan the Micro-TESE procedure based on the patient’s anatomy, identifying potential areas in the testicles with the highest likelihood of containing viable sperm.
Informed Consent: Discuss the procedure, potential outcomes, and associated risks with the patient, obtaining informed consent.

4. Surgical Procedure:

Microsurgical Precision: Perform Micro-TESE under general anesthesia using a high-powered operating microscope.
Testicular Exploration: Employ microsurgical techniques to explore the testicles meticulously, identifying regions that may harbor viable sperm.

5. Sperm Retrieval:

Focused Extraction: Extract tiny tissue samples from the identified regions using microsurgical instruments.
Minimizing Tissue Disturbance: Aim to minimize disruption to healthy testicular tissue during the extraction process.

6. Immediate Sperm Analysis:

Microscopic Examination: Immediately analyze the extracted tissue samples under a microscope to identify the presence of viable sperm.
Quality Assessment: Evaluate the quality and quantity of retrieved sperm to determine their suitability for assisted reproductive procedures.

7. Integration with Assisted Reproductive Technologies (ART):

ICSI Integration: Integrate Micro-TESE with ICSI, where individual sperm retrieved during the procedure are directly injected into mature eggs during the IVF process.
Optimizing Fertilization: Enhance the chances of successful fertilization by combining Micro-TESE with ICSI.

8. Post-Procedure Support:

Guidance and Counseling: Provide comprehensive post-procedure support, offering guidance on post-treatment care, lifestyle choices, and emotional well-being.
Addressing Concerns: Be available to address any concerns or questions that may arise during the recovery period.

9. Pregnancy Testing and Monitoring:

Thorough Pregnancy Testing: Conduct thorough pregnancy testing to confirm the success of the integrated Micro-TESE and ICSI procedure.
Ultrasound Monitoring: Monitor the progression of a healthy pregnancy through ultrasound examinations.

10. Holistic Care and Follow-Up:

Emotional Support: Offer emotional support throughout the Micro-TESE process, addressing both the emotional and physical aspects of the patient’s fertility journey.
Lifestyle Guidance: Provide guidance on lifestyle choices that can positively impact fertility and overall well-being.
Post-Pregnancy Support: Commit to ongoing support to ensure a positive post-pregnancy experience for the patient and their partner.

Micro-Tese Risk Factor

How Micro Tese Procedure Is Performed?

Micro-Tese is performed under spinal or general anesthesia. It is painless, due to minimal invasion, Testicles are examined through Micro Dissecting Microscope to detect active sperms producing tubules a very small volume of testicular tissues is obtained and immediately examine under a microscope. The testes are closed with fine Sutures. It is a day care procedure and patient discharged on the same day.

Treatment for azoospermia

An infertility specialist will provide you with treatment options according to the diagnosis. Depending on the cause, the treatment options will vary since there are multiple causes of azoospermia. Except for congenital cases of azoospermia, most cases with obstructive azoospermia are repairable surgically to remove the blockage, with micro-surgical or endoscopic reconstruction.

Micro-Tese Indications

Micro TESE should be considered in patients: with non-obstructive (secretory) azoospermia associated with a low likelihood of finding sperm cells in the testicles (high serum FSH concentrations, small testicular volume):

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