Micro TESE (Male Infertility Surgery)

In random biopsies performed in the past, large and blind pieces were taken from the testicular tissue, which both damaged the testicle and resulted in a low chance of finding sperm. In Micro TESE, the surgeon, using an operating microscope (20-25 times magnification), only sees and selects thick tubules full of sperm. The success rate is much higher, and tissue loss is minimal.

Unfortunately, the condition of not finding sperm can occur in some genetic (Klinefelter Syndrome) or severe hormonal cases. The extracted tissues are simultaneously examined by an embryologist in the laboratory. If live sperm cannot be found despite all searches, the procedure is terminated. Tissue samples are sometimes sent for detailed pathological examination to see if there is production at the stem cell level.

Micro TESE is generally performed under local anesthesia, spinal (numbing below the waist), or mild general anesthesia in an average of 1-2 hours. The patient is discharged home the same day. The stitches on the scrotum dissolve on their own. After a few days of bed rest and the use of supportive underwear, normal life is resumed.