Male fertility specialists recommend microsurgical testicular sperm extraction ( microTESE ) when a man has no sperm in his semen (non-obstructive azoospermia). Using this procedure, doctors are able to find sperm of the time. Micro-dissection TESE ( MicroTESE ) is an invasive procedure utilized to locate sperm in men with non-obstructive azoospermia or severe testicular failure. MicroTESE is especially helpful in these men as there may be very localized areas of sperm production that may be missed during blind biopsies or needle aspiration procedures. MicroTESE is a microsurgical method for obtaining sperm from a male who does not have sperm in his ejaculate (azoospermia), particularly in males who do not have a blockage in their reproductive tract (non-obstructive azoospermia).

Many of these patients were previously considered to have no options for assisted reproduction. Micro-Dissection TESE ( MicroTESE ) is an invasive procedure utilized to locate sperm in men with Non-Obstructive Azoospermia or severe testicular failure. State-of-the-Art Male Infertility Treatment: Micro-TESE.

The frustration you have felt in your attempts to achieve a pregnancy does not have to be compounded by treatment that is unduly painful or accompanied by risk. Philip Werthman, who has achieved world recognition as a male infertility specialist, has worked for years to develop the most precise, least invasive approaches now available. Schlegel performed the first Micro-TESE procedure at PCRM as a visiting professor. With a fully functional operating theatre on-site, and embryologists with years of TESE experience in an adjoining full-equipped IVF laboratory, PCRM has proven to be well suited for Micro-TESE. MESA, TESE, MicroTESE 1. Técnicas de Captação de Espermatozoides para Reprodução Assistida (ICSI) Esteves et al.


Sperm Retrieval Techniques. COLPI, Liborio VACCALLUZZO, Elisabetta M. The aim of our study was to review the of microsurgically performed testicular sperm extraction (TESE) and to evaluate its possible long term effects on serum testosterone (T). So far, no serious adverse effects have been published following microsurgical TESE, qualifying these procedures as. MicroTESE is a procedure which was developed to remove these testicular tubules and extract the sperm from them. This process involves making a small incision in the scrotum, opening the testes, and using an operating microscope to identify and remove specific tubules which are likely to contain sperm.

MicroTESE is performed in the operating room with general anesthesia under the operating microscope. MicroTESE is carefully coordinated with the female partner’s egg retrieval, and is performed the day before egg retrieval. Micro-TESE is recommended for the most severe cases of non-obstructive azoospermia (NOA). MicroTESE yields the highest sperm retrieval rate and causes the least amount of damage to the testis.

Miniinvasive alternative to TESE using microdissection microscope. ICSI) pregnancy outcomes in men with azoospermia due to spermatogenic. Fertility and Sterility. Tavukcuoglu S, Al-Azawi T, Al-Hasani S, Khaki AA, Khaki A, Tasdemir S. Samples in Couples Undergoing ICSI- MicroTESE Treatment.

This involves an operation performed through a small midline incision in the scrotum, through which one or both testicles can be operated. Some health conditions, such as blocked sperm ducts or procedures such as a vasectomy, prevent sperm from entering the semen and ejaculate, causing male infertility. In some cases of testicular azoospermia , the testicles can still produce sperm that are mature an in that case, through an invasive procedure – either TESE or MicroTESE – those sperm can be retrieved directly from the testicles for use in IVF with ICSI. When sperm must be surgically retrieved from the testicles, IVF is a requirement.

Predictive factors for microTESE : Men who are older or have smaller testes, higher FSH, or higher BMI levels are do not have worse sperm retrieval rates with microTESE. MicroTESE is successful post-chemotherapy as well with varying rates depending on the type of chemotherapy regimen. However, male BMI is a predictor of successful pregnancy.

For men whose ability to produce sperm is poor and unsatisfactory, this is great news. Micro TESE offers several advantages over conventional TESE. Studies show that for men with NOA, sperm retrieval rates (SRR) by micro TESE are significantly higher than conventional TESE. For microTESE to be successful, you need to have a skillful surgeon and an excellent andrology technologist searching for sperm.


At the time of the micro TESE procedure, an andrology lab technician is assigned to the operating room to analyze the seminiferous tubules for sperm. Open surgical testicular sperm retrieval with (TESE) or without microscopic magnification ( microTESE ) is recommended for patients with nonobstructive azoospermia. In contrast, there is not adequate evidence that the source or method of sperm harvesting affects the outcome of IVF with ICSI for patients with obstructive azoospermia. Thus, the choice of sperm retrieval by either. He is azo due to cancer, the docs are pretty positive, but we are hoping they are able to find something soon.

We go back for SA in oct and then if nothing, its microTESE time. Starting IVF with micro TESE : Hi Everyone, My DH and I have been TTC for almost two years. We had our first appointment with our FS a few months ago after DH had two semen analysis done with a zero sperm count.