Micro-TESE Procedure for Sperm Retrieval in Male Infertility

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What is micro Tese & how does it work?

In micro TESE, the patient is given general anesthesia, a small incision is made, and a microscope is then inserted to look for any sperm present. Just as intended, micro TESE does offer some clinical advantages over TESE: According to the University of Utah, “Sperm is found approximately 70% of the time in the microTESE procedure.”

What is microscopic TESE (micro-Tese)?

Dr. Peter Schlegel, Urologist-in-Chief, was the first to describe the microscopic-TESE procedure (micro-TESE). Performed in conjunction with IVF, micro-TESE is a revolutionary treatment for severe male factor infertility caused by the absence of sperm (azoospermia) in the semen due to anatomical obstructions or very low/no sperm production.

Is micro Tese better than Tese?

Just as intended, micro TESE does offer some clinical advantages over TESE: According to the University of Utah, “Sperm is found approximately 70% of the time in the microTESE procedure.” In one head to head comparison of TESE and micro TESE in men with non-obstructive azoospermia, the successful sperm retrieval rates were 32% and 57% respectively.

What is micro Tese in azoospermia?

Micro TESE is a more advanced version used in the case of non-obstructive azoospermia, because a physician will need to locate far fewer sperm within the testes. In micro TESE, the patient is given general anesthesia, a small incision is made, and a microscope is then inserted to look for any sperm present.

Which is better TESE or micro-Tese?

micro-TESE is only available in selected centres and has a better success rate in finding sperm in difficult cases (approximately 11⁄2 times better than TESE in comparative studies, with sperm found in approximately 50%). This is the best choice if you have non-obstructive azoospermia Are there any after-effects?

What is a microtese procedure?

MicroTESE is a surgical procedure where sperm is retrieved from the seminiferous tubules of the testis. How is microTESE performed? While patients with NOA may not have sperm detectable on a semen analysis, they may have focal areas of sperm production within the testis.

What Is Micro-TESE

1. https://www.cuh.nhs.uk/patient-information/microsurgical-sperm-retrieval-from-the-testicle-micro-tese-information-for-patients/
2. https://my.clevelandclinic.org/health/procedures/microtese
3. https://healthcare.utah.edu/fertility/treatments/tese
4. https://urology.ufl.edu/wordpress/files/2021/10/microTESE-Patient-Education-Guide.pdf
5. https://pathfertility.com/micro-tese-testicular-sperm-extraction/
6. https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Sperm%20retrieval.pdf
7. https://reuniterx.com/fertility-articles/understanding-micro-tese-microscopic-testicular-sperm-extraction/
8. https://en.wikipedia.org/wiki/Testicular_sperm_extraction
9. https://raadinahealth.com/en/blog/microtese-procedure
10. https://www.mayoclinic.org/medical-professionals/urology/news/microsurgical-testicular-sperm-extraction-microtese-more-accessible-for-couples-who-are-infertile/mac-20532220

Micro-TESE Information

1. https://www.fertiliti.io/home/articlesandinsights/complete-guide-to-microtese-pre-and-post-op-care
2. https://ivf.org/treatments-and-services/advanced-ivf-techniques/tese
3. https://urologyclinics.co.uk/micro-tese-sperm-retrieval/