MicroTESE is an advanced microsurgical technique that examines testicular tissue in detail under a microscope, precisely identifies the areas with sperm production, and enables sperm to be obtained.
It is one of the most advanced surgical sperm retrieval methods, especially in cases of male infertility where no sperm can be found.
Main Purpose
- To find the sperm-producing foci within the testicle
- To surgically obtain living sperm
- To provide sperm for in vitro fertilization (IVF/ICSI)
- To minimize unnecessary tissue loss
Areas of Use
1. Azoospermia
- The absence of any sperm in the semen
- Especially non-obstructive azoospermia
2. Male infertility
- Severe sperm production disorders
- No sperm found in previous TESE procedures
3. Complex testicular failure
- Production disorders of hormonal or genetic origin
How Is It Performed?
- The testicle is opened using a microsurgical method
- The tissues are examined in detail under the surgical microscope
- The enlarged tubules with sperm production are selected
- Tissue is precisely taken from these areas
- The samples taken are examined for sperm in the laboratory
Advantages
1. The highest chance of finding sperm
- It is more successful than other methods
2. Minimal damage to tissues
- Only active areas are targeted
3. Living sperm is obtained for IVF/ICSI
- It enables microinjection treatment
4. It is a repeatable method
- It can be applied again if necessary
Possible Risks
- Pain or swelling in the testicle
- Bleeding or hematoma
- Temporary drop in testosterone (rarely)
- Risk of tissue loss (minimal)
Success Rate
The success of MicroTESE depends on many factors:
- Testicular structure and reserve
- Hormonal profile (FSH, testosterone)
- Genetic factors
- Previous surgical history
- The cause of the disease
Frequently Asked Questions
What does the success rate depend on?
It varies according to the sperm production capacity of the testicular tissue and the patient’s hormonal and genetic profile.
What happens if no sperm is found after the procedure?
Based on the results obtained, the in vitro fertilization process is replanned or alternative treatments are evaluated.
Is the procedure painful?
Since it is performed under general anesthesia, no pain is felt during the procedure.
Clinical Summary
MicroTESE is the most advanced microsurgical method used to obtain sperm in cases of azoospermia and severe male infertility. Thanks to the selective tissue retrieval performed under a microscope, the success rate is increased and living sperm can be provided for in vitro fertilization treatment.
