MicroTESE Procedure for Male Infertility
Male infertility is one of the major conditions that affect men across the world. Particularly in middle-aged men, who want to have children, this could be a major cause of stress. Male infertility is not a single condition but an end result of multiple conditions. One particular condition is azoospermia, where men are unable to produce sperm. While many procedures exist to treat it, the most effective one by far is microTESE. Let’s take a closer look at microTESE and how it became one of the best diagnostic tools for azoospermia.
Understanding MicroTESE
Microscopic testicular sperm extraction is a surgical procedure involving the extraction of sperm directly from the testicles. The procedure is used for men who are unable to produce healthy sperm for reproduction. MicroTESE extracts sperm by making a small incision in the testes and extracting the testicular tissue. The testes are located within fleshy bags called scrotum and a pair of them exist just below the penis. Both of these testes include testicular tissue.
Male Infertility
Infertility is a condition when the reproductive system of the body becomes dysfunctional. In males, infertility is usually caused due to either of two organs: testicles and penis.
Azoospermia is a case of male infertility where the no sperm is released from the body. It is largely of two types. Non-obstructive azoospermia is when the body produces no sperm at all. Obstructive azoospermia is when sperm is produced, but an obstruction stops it from getting released.
Azoospermia is a very common cause of male infertility. Generally, preliminary tests are carried out to check the sperm count in the semen. This includes blood test and semen analysis. If these tests give no conclusive results, more advanced methods are employed. In case of non-obstructive azoospermia, microTESE treatment is used.
Testicular Biopsy
Testicular biopsy is a very common diagnosis method to find out issues surrounding the male reproductive and sexual health. The biopsy is usually preceded by a semen analysis. In most cases, semen analysis is enough to find basic information like sperm count and azoospermia. However, sometimes the analysis can return inconclusive results. In such cases, a testicular biopsy is suggested.
Testicular biopsy focuses on taking a sperm sample directly from the testicles. This could be done in two ways. Percutaneous biopsy inserts a very thin needle directly inside the testicle and extracts testicular tissue through a syringe. Surgical biopsy involves making a small incision on the testicle and then extracting testicular tissue through the opening.
Testicular biopsy is used to diagnose a wide variety of conditions. It could find cause of lumps or blockages in the testicles. It can extract sperms to be later used for In-Vitro Fertilization (IVF). In some cases, it can be used to confirm testicular cancer. Also, the biopsy is used when semen analysis is not enough to confirm conditions like azoospermia and male infertility.
Choosing MicroTESE
It is important to understand the scenarios in which microTESE could be used. Despite being safe and effective, it cannot work in all condition. Like in case of obstructive azoospermia, the blockage cannot be removed by microTESE treatment.
MicroTESE is preferred in cases of males who have sufficiently high level of testosterone in their body but are still unable to produce sperm due to some reason. Alternatively, males who have undergone prior treatment of azoospermia and have normal level of testosterone can also opt for this.
MicroTESE instead of Biopsy
While biopsy is a common procedure, it is not without its complications. Particularly in cases of non-obstructive azoospermia, biopsy is not very effective at sperm extraction. In fact, an open biopsy might even further complicate things.
MicroTESE is a more effective procedure to extract sperms, especially in the aforementioned scenario. It must be remembered that prior biopsies can reduce the chances of sperm extraction by a significant margin. While there is a 56 percent chance of finding sperm in patients with no prior biopsies, this drops to 26 percent in patients with 3 or more prior biopsies.
MicroTESE Procedure
The procedure of microTESE is as complicated and elaborate as any other major surgery. The patient is first given general anesthesia because the procedure requires complete stillness.
For further information on Male Infertility treatment do consult:-
Dr Gautam Banga
MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316
Email:- info@urethraandpenilesurgery.com
0 Comments