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Micro TESE

🧬 Micro-TESE (Microsurgical Testicular Sperm Extraction)

Micro-TESE (Microsurgical Testicular Sperm Extraction) is an advanced surgical procedure used to retrieve sperm directly from the testicular tissue of men with non-obstructive azoospermia — a condition where no sperm are present in the ejaculate due to poor or absent sperm production. At Phular IVF Hospital, Muzaffarpur, Micro-TESE is performed by experienced andrologists using high-powered surgical microscopes to ensure precision and successful sperm retrieval for use in IVF or ICSI.

💡 What is Micro-TESE?

Micro-TESE is a microsurgical technique designed to locate and extract sperm directly from the seminiferous tubules within the testes. It is especially helpful for men whose sperm production is extremely low or absent due to genetic, hormonal, or testicular disorders. Unlike conventional TESE or biopsy methods, Micro-TESE uses a surgical microscope to identify areas of sperm production, ensuring better outcomes and minimal tissue damage.

🔬 Indications for Micro-TESE

Men diagnosed with non-obstructive azoospermia (NOA).
Failure to retrieve sperm through other procedures like PESA or TESA.
Genetic conditions affecting sperm production (e.g., Klinefelter syndrome).
History of testicular damage, infection, or chemotherapy.
Men who wish to father a biological child through ICSI (Intracytoplasmic Sperm Injection).

⚙️ Step-by-Step Micro-TESE Procedure

1. Preparation: The patient is given local or general anesthesia for comfort.
2. Microsurgical Opening: A small incision is made in the testis to access the seminiferous tubules.
3. Sperm Search: Using a high-magnification operating microscope, the surgeon identifies the most promising areas for sperm retrieval.
4. Sperm Extraction: Tiny samples of tissue are carefully removed and examined immediately by the embryology team.
5. Cryopreservation: Retrieved sperm are frozen for future IVF or ICSI use.
6. Recovery: The incision is closed with absorbable sutures; recovery is usually quick and painless.

📈 Success Rates & Benefits of Micro-TESE

✅ Higher sperm retrieval rates compared to traditional TESE or biopsy.
✅ Minimally invasive with less damage to testicular tissue.
✅ Suitable for men with very low or zero sperm count.
✅ Enables biological parenthood through ICSI.
✅ Allows sperm freezing for multiple future IVF attempts.

⚠️ Recovery & Aftercare

Recovery from Micro-TESE is typically quick. Most patients resume normal activities within 1–2 days. Mild swelling or discomfort may occur but resolves quickly with medication. Follow-up visits and reports help assess hormonal balance and testicular healing.

🏥 Micro-TESE at Phular IVF Hospital, Muzaffarpur

At Phular IVF Hospital, we perform Micro-TESE in our advanced andrology and embryology lab under strict aseptic and ethical standards. Our fertility specialists and microsurgeons use high-resolution operating microscopes to identify viable sperm with precision. This technology has helped numerous men with azoospermia achieve biological fatherhood through IVF/ICSI.

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