Micro TESE: Procedure, Success Rates, Cost & Best Treatment Options

Mar-08-2025
Micro TESE: Procedure, Success Rates, Cost & Best Treatment Options

Micro TESE (Microsurgical Testicular Sperm Extraction) is a specialised surgical procedure used to retrieve sperm from men with non-obstructive azoospermia— a condition where the testes produce little to no sperm. It is considered one of the most advanced techniques for male infertility treatment and is often performed when conventional TESE or needle aspiration fails to retrieve viable sperm.

Micro TESE vs. Conventional TESE

Micro TESE is a refined version of traditional TESE, performed under an operating microscope to identify and extract sperm-producing tubules with higher precision. The key differences include:

  • Higher Success Rate: Micro TESE offers a significantly better sperm retrieval rate compared to TESE.

  • Minimal Tissue Damage: Less damage to the testicular tissue, preserving future fertility options.

  • Better Outcomes for IVF/ICSI: The extracted sperm can be used immediately for intracytoplasmic sperm injection (ICSI), increasing the chances of conception.

Micro TESE Procedure: Step-by-Step Guide

  1. Pre-procedure Preparation

    • Hormonal evaluation and genetic testing.

    • Pre-surgical counseling and anesthesia planning.

  2. Surgical Process

    • The patient is placed under general anesthesia.

    • A small incision is made in the scrotum to access the testis.

    • Using a high-powered surgical microscope, the surgeon identifies sperm-producing tubules.

    • Sperm-containing tissue is carefully extracted and sent to the lab for analysis.

  3. Recovery & Post-Procedure Care

    • Patients typically recover in 2-3 days with minimal discomfort.

    • Pain management and antibiotics may be prescribed.

    • Avoid strenuous activities for 1-2 weeks.

Success Rates of Micro TESE

The success of Micro TESE depends on several factors:

  • Patient’s Age: Younger men have higher sperm retrieval rates.

  • Cause of Azoospermia: Genetic and hormonal factors impact success.

  • Prior Treatments: Previous failed TESE/biopsies may lower chances.

Average Success Rates:

  • Sperm Retrieval Rate: 40-60% (varies based on patient profile)

  • ICSI Pregnancy Success: 30-50% (using Micro TESE sperm)

Micro TESE Cost & Availability

The cost of Micro TESE varies based on location and medical facility. Below is a general estimate:

  • India: ₹1,50,000 - ₹3,50,000

  • USA: $5,000 - $10,000

  • UK: £4,000 - £7,500

  • Factors Affecting Cost: Hospital charges, surgeon’s expertise, additional IVF costs.

Who Should Consider Micro TESE?

Micro TESE is ideal for men with:

  • Non-obstructive azoospermia (NOA)

  • Previous failed sperm retrieval attempts (via TESE or TESA)

  • Genetic conditions like Klinefelter syndrome

  • Testicular failure due to chemotherapy or radiation

Risks & Complications of Micro TESE

While Micro TESE is generally safe, potential risks include:

  • Mild pain and swelling

  • Bleeding or infection

  • Scarring or testicular damage (rare)

FAQs on Micro TESE

Q1: Can Micro TESE retrieve sperm in all azoospermia cases?
 A: No, success depends on individual factors, but it has a higher retrieval rate than conventional methods.

Q2: How painful is the procedure?
 A: The surgery is performed under general anesthesia, so there is no pain during the procedure. Mild discomfort may occur post-surgery.

Q3: Can retrieved sperm be used for IVF/ICSI?
 A: Yes, the extracted sperm is used for ICSI to maximize fertility success.

Conclusion

Micro TESE is a breakthrough in male infertility treatment, offering new hope to men struggling with non-obstructive azoospermia. For those considering this procedure, New World Fertility provides world-class fertility solutions with expert andrologists ensuring the best care and outcomes.

For more details or to book a consultation, visit New World Fertility today!