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Micro-TESE Operation

The most effective sperm retrieval method in azoospermia

Micro-TESE (Microscopic Testicular Sperm Extraction) is a microscope-assisted surgical procedure performed to obtain sperm from men with no sperm in their semen (azoospermia). It is particularly used in cases of non-obstructive azoospermia., Highest sperm retrieval rate It is accepted as the method.

What are the advantages of Micro-TESE?

  • Higher Success Rate:Using a surgical microscope, testicular tissue is examined in detail to locate mature sperm foci.
  • Minimal Tissue Damage:Using a microscope allows samples to be taken only from the necessary areas, without damaging the testicles.
  • Correct Targeting:It is the most reliable method, especially preferred in cases where classic TESE and TESA methods have failed.

What is the sperm retrieval rate?

Sperm retrieval rate with micro-TESE in azoospermic men %50-60 This rate varies. This ratio may differ depending on the patient's age, testicular structure, previous surgeries, and the underlying cause.

How is the operation performed?

  • It is performed under general anesthesia.
  • The testicle is accessed through a small incision in the scrotum.
  • Using a surgical microscope, areas with high sperm production potential are examined.
  • Samples that may contain mature sperm are collected and evaluated by embryologists in the laboratory.
  • If necessary, the procedure can be repeated on the other testicle.
  • After the procedure, patients usuallyThey are discharged the same day.

How long does the operation take?

The duration of micro-TESE varies depending on the patient.

  • The procedure in some patients15-20 minutes while it can continue,
  • In some of them2-2.5 hours It can extend that far.
    Importantly, the procedure is completed only after all testicular tissue has been carefully examined.

How many times can micro-TESE be performed?

If no sperm is found during the first operation, at least 6-month waiting period It can be done again later.
The possibility of finding sperm on the second or third attempt. %35-50’It can reach up to...
However, experienced surgeons carefully consider the decision for a second operation based on the initial surgical findings.

What are the potential risks?

As with any surgical procedure, some rare complications can occur during Micro-TESE:

  • Mild pain and swelling
  • Temporary testicular tenderness
  • Risk of infection (preventable with antibiotics)
  • Rarely, testicular shrinkage or tissue loss.

What precautions should be taken after the operation?

  • Physical rest is recommended for the first few days.
  • Antibiotics and painkillers prescribed by the doctor should be taken regularly.
  • Care should be taken to maintain hygiene in the surgical area.
  • Doctor's appointments should be attended on time.

Micro-TESE procedure, This is a procedure that requires not only surgery but also microscopic precision and experience.
At Momart IVF Center, this procedure is performed safely through the coordination of our experienced urology and embryology teams.