Micro TESE India, Microdissection Testicular Sperm Extraction in India

Welcome to Bloom IVF

Do you have issues in conceiving?

Are you suffering from non-obstructive azoospermia?

Now, with the help of micro TESE, India, it is possible to overcome these issues and start a family.

Dr. Hrishikesh Pai is one among the few IVF doctor in India whose pioneering work in fertility treatment has earned him international acclaim.

He is the Founder and Director of Bloom IVF Group, which operates eight IVF clinics around the country. Bloom IVF is regarded as one of the best IVF centre in India because of its excellent service and cutting-edge technology that meets international standards.

What is micro TESE?

Microdissection testicular sperm extraction (micro TESE) is a sperm retrieval operation used to treat infertility in males with no sperm in their semen due to testis failure (non-obstructive azoospermia).

It is a biopsy of the testis in which the tissue to be removed is pinpointed using an advanced operative micro dissecting microscope.


For whom is micro TESE useful?

Micro TESE India is a ray of hope for men who have infertility. We are one of the top IVF centres globally that perform microdissection testicular sperm extraction in India.

Many people who have been unable to obtain sperm using TESA visit our centre for treatment. We have helped them retrieve sperm with micro TESE and successfully conceive a baby using their own sperm.

People with the following male infertility issues can benefit from micro TESE :

  • Non-obstructive azoospermia: There is no sperm in the ejaculate due to impaired sperm production.
  • Severe oligoasthenozoospermia with high sperm DNA fragmentation: The semen has few weak sperms, with most of them having damaged DNA.
  • Severe oligo teratozoospermia: Extremely few sperm in the ejaculate from which only some appear normal.

What is the procedure for micro TESE?

Before we begin the surgery, we will put you under general anesthesia.

Our doctor will make a very small incision in the midline of your scrotum to perform the surgery. The doctor will use this incision to open your testicles and examine them under a high-powered operating microscope for enlarged seminiferous tubules that may contain sperm.

Next, we will extract a tissue sample from the tubules of one testicle. The testis will be closed with extremely small sutures to stop any bleeding. We will do the same thing with the other testicle.

We will close all the tissue layers that we opened to enter your scrotum after collecting tissue samples. You will have a suture that dissolves on its own over time and leaves little or no scarring.

We will then give your tissue sample to our andrology technologist, who will analyze it under a standard microscope to check if it contains any sperm. If sperm are found in your tissues, our technician will extract them and freeze them in liquid nitrogen. After that, you can use your sperm for IVF or ICSI.

Being a day-care procedure, you will mostly be allowed to go home the same day.

Recovery after micro TESE procedure

As the scrotum is one of the body’s fastest healing areas, most men recover rapidly and experience minimal pain following surgery. However, our doctor will prescribe pain medicine. The multi-layered closure approach helps prevent infections and bleeding in males following microdissection testicular sperm extraction in India.

What are the advantages of micro TESE India?

The goal is to cause minimal harm to the testicular structure, resulting in fewer complications like blood supply issues caused by cutting small blood vessels.

Some of the benefits of microdissection testicular sperm extraction in India are:

  • Higher rates of sperm retrieval
  • Minimum complications post-surgery
  • Reduced long-term impairments in testicular function
  • Fewer complications are detected on ultrasound


Frequently Asked Questions

What are the risks of undergoing micro TESE?

The following are some of the risks associated with micro TESE:

  • Bleeding
  • Infection
  • Not being able to detect sperm
  • Harm to the testicles which is uncommon
What post-operative care needs to be taken for micro TESE?
For the first 24 hours after surgery, the majority of patients will require an ice pack. We prescribe medications to keep any pain or discomfort away. You should refrain from sex, masturbation, or strenuous exercise for the first ten days after surgery.
Is micro TESE the first line of treatment for male infertility?

In our clinic, we first try TESA to extract sperms. If that doesn’t work, we move on to mapping and last resort to micro TESE.

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