According to clinical studies, the male factor is the cause of about 40-50% of infertility cases in couples who cannot conceive a child naturally. One of the most complex forms of this disorder is azoospermia, a condition in which sperm are absent from the ejaculate, making natural fertilization impossible. However, modern reproductive medicine offers effective solutions even in such cases.
The Micro TESE procedure allows using microsurgical techniques to find and obtain sperm directly from the testicular tissue. This method opens up the possibility of biological fatherhood even for men with severe forms of spermatogenesis disorders. Next, let's take a look at what kind of procedure it is, how it works, and in which clinic you can undergo Micro TESE in Kyiv.
Micro TESE (microsurgical testicular sperm extraction) is a modern operation during which a doctor uses an operating microscope to find and remove sperm directly from the testicular tissue. The method is used in cases where there are no spermatozoa in the ejaculate or not enough of them for fertilization, but their formation is partially preserved at the level of the testicular tissue.
The essence of the procedure is a point search for areas of the testicle with active spermatogenesis under multiple magnification. The intervention involves obtaining viable spermatozoa with minimal tissue damage and their subsequent use in the program of assisted reproductive technologies, in particular ICSI.
The main indications for Micro TESE:
Micro TESE is an operation that is considered the most effective for sperm collection in patients with severe male infertility, as it allows you to find the preserved foci of spermatogenesis as accurately as possible.
TESA and TESE are surgical methods of obtaining sperm by testicular biopsyused in azoospermia and other severe disorders of spermatogenesis. The main difference between them lies in the method of access to the testicular tissue and the scope of the intervention.
Let's consider the main differences between the methods:
Let's compare the difference between Micro TESE surgery and the TESA method by the main criteria:
| Criterion | TESA | TESE |
| Method of access | Percutaneous needle biopsy of the testicles without an incision | Small surgical incision |
| Injury rate | Minimal | Moderate but controlled |
| The amount of material received | Limited | Larger volume of tissue, which increases the chances of finding sperm |
| Efficacy in severe disorders of spermatogenesis | Lower | Higher, especially in case of non-obstructive azoospermia |
| Type of anesthesia | Local | Local or intravenous sedation |
The choice of method depends on the cause, results diagnosis of male infertility and individual characteristics. In difficult cases, the Micro TESE procedure is preferred, as it provides maximum efficiency in the search for sperm.
Micro TESE is the most modern and accurate method of sperm retrieval in patients with complex forms of male infertility. At the IVMED Medical Center, the procedure is performed in accordance with international standards using specialized microsurgical equipment and provides comprehensive patient support at every stage.
Advantages of conducting Micro TESE:
IVMED Micro TESE is performed by experienced andrologists and reproductive specialists who specialize in the treatment of male infertility. The medical center is equipped with a modern operating room and embryological laboratory, which allows performing the procedure and further work with spermatozoa within the same facility.
We provide an individualized approach, strict adherence to evidence-based protocols, and full patient support - from diagnosis to the implementation of an assisted reproductive technology program.
The Micro TESE procedure at the IVMED clinic is performed using modern microsurgical equipment, which allows you to accurately find the areas of sperm formation and minimize tissue trauma. The operation is performed by leading doctors under anesthesia, so the patient does not feel pain, and recovery is usually quick and with minimal discomfort.
Before performing Micro TESE, it is necessary to undergo a comprehensive examination to clarify the diagnosis, assess the state of the reproductive system and choose the optimal tactics for treating male infertility.
The main stages of diagnosis and preparation for testicular biopsy:
Preparation for surgery includes:
Testicular biopsy by Micro TESE is performed in the operating room using an operating microscope. In most cases, hospitalization is short - the patient can return home the same day.
The main stages of sperm extraction:
The procedure lasts about 40 minutes. The sperm obtained during the TESE biopsy can be used immediately to fertilize an egg as part of an IVF protocol or can be cryopreserved. In the first case, a testicular biopsy is usually prescribed on the same day as the follicle puncture.
After the procedure, the patient is under short-term medical supervision. In the area of the open biopsy, there may be slight swelling or discomfort in the first few days. The doctor will provide individualized recommendations for recovery, hygiene and physical activity.
Infertility is not a sentence, but a medical problem that can be solved in most cases. Modern methods of reproductive medicine allow you to get a chance for biological parenthood even with complex forms of spermatogenesis disorders. It is only important to contact a specialist in a timely manner and choose the right tactics infertility treatment.
The price for the Micro TESE procedure at IVMED is determined individually and depends on the clinical situation, the scope of the required diagnostics, the complexity of the intervention, and the need for additional laboratory or reproductive technologies. After consultation and examination, the doctor forms a personalized treatment plan with a clear understanding of all stages and costs.
A consultation with a reproductive specialist and an andrologist is the first step to determining the cause of male infertility and choosing an effective treatment method. At the IVMED Medical Center, you can undergo a comprehensive diagnosis, receive professional advice and an individual fertility restoration plan.
Make an appointment with a reproductive specialist at a time convenient for you to get answers to all your questions and take a confident step towards your dream parenthood.
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