Micro-TESE: The Revolutionary Male Infertility Treatment

  • Publication:
    TOI

  • Published On:
    12th June, 2018

Parenthood is the dream of every couple and infertility makes it difficult to achieve it. Infertility is often thought of as a female concern, but in about 50% of the cases, there is a concern with the male which must be addressed early.

Infertility in Men
A complete lack of sperms (Azoospermia) occur in about 10-15% of men who are infertile. Cloudnine Hospital offers the revolutionary optimal technique, Micro-TESE (Microsurgical Testicular Sperm Extraction) which helps in finding sperms.

What is Micro-TESE?
Micro-TESE is a microsurgical procedure to retrieve sperms directly from the testes in men having Azoospermia due to the defective process of sperm production. It is an advanced procedure that requires the skill and understanding of micro-surgery and testicular anatomy.

Below is the case of a couple who had a successful pregnancy with the help of Micro-TESE in the first attempt:
A 31-year-old man and his 29-year-old spouse with 6 years of primary infertility were seeking a treatment at Cloudnine Hospital, Chennai. The man was diagnosed with severe Oligozoospermia with high DNA fragmentation. The man underwent a Micro-TESE treatment as suggested. As the next step, ICSI (Intracytoplasmic Sperm Injection) was performed with obtained sperms. The embryo was transferred and the woman conceived in her first attempt. She delivered a healthy female baby at 37 weeks of gestation.

Who can benefit from Micro-TESE?
Couples planning for parenthood but facing the following male infertility issues:

Non-obstructive Azoospermia: No sperms in the semen due to reduced production in the testes.
Severe Oligoasthenozoospermia with high sperm DNA fragmentation: Very few and weak sperms in the semen with a high no. of them with damaged DNA.
Severe Oligo Teratozoospermia: Very few sperms in the semen with very few appearing normal.

Why Micro-TESE?
It is a painless, minimally invasive micro-surgical day-care procedure done through a small incision under anaesthesia.
With Micro-TESE, the probability of finding sperms is more than 60% which is twice as compared to a non-microsurgical procedure.
It is an advanced sperm retrieval technique with high sperm retrieval rate as compared to traditional biopsy techniques.
It has minimal post-operative complications and is relatively safe for the testes. The operating microscope helps to avoid damage to the testicular tissues and blood supply.
It helps the Embryologist choose the best fresh sperms through a powerful microscope. It can be performed and timed with IVF or ICSI.
The higher chances of obtaining quality sperms enhance the possibilities of a successful pregnancy.

Understanding the Procedure
The procedure is done under spinal anaesthesia. With minimal invasion, testes are examined through a micro-dissecting microscope to locate active sperm-producing tubules. A very tiny volume of testicular tissue is removed from these vital areas and immediately examined under the microscope to identify individual sperms. Once sufficient sperms are obtained, the testes are closed with very fine sutures. The incision is then closed with dissolvable sutures. As it is a day-care procedure, the patient is usually allowed to go home on the same day itself. The patient is generally advised to use an ice pack for the first 24 hours. Any vigorous exercise, intercourse and masturbation should be avoided for few days after the procedure.

If your partner is suffering from very low sperm count or no sperms present, a Micro-TESE treatment can increase the probability of finding them by more than 60%. The treatment along with fertility technologies like IVF or ICSI helps you start a family.

Dr. Sathya Balasubramanyam, MBBS, MD (OBG)
Consultant Infertility Specialist
Cloudnine Hospital
54, Vijaya Raghava Road, T. Nagar, Chennai

SOURCE: https://m.timesofindia.com/life-style/health-fitness/health-news/micro-tese-the-revolutionary-male-infertility-treatment/articleshow/64557115.cms