Microdissection TESE (Testicular Sperm Extraction) Guide

 
Surgical Options for Sperm Retrieval

PESA - The simplist surgical sperm retrieval procedure is PESA (percutaneous epididymal sperm aspiration). Typically this procedure is performed under local anesthesia. During the PESA procedure, sperm may be extracted with a fine needle from the epididymis or from the testes directly, providing they are producing live sperm. ICSI (Intracytoplasmic sperm injection) is always used in conjunction with the PESA procedure. To learn more about this procedure, please see our IVF with ICSI guide.

TESA & TESE - In the event that no sperm is present in the epididymis due to the absence of the epididymis or because of impaired sperm production, sperm may be extracted directly from the testis, by utilizing the TESA (Testicular Sperm Aspiration) or TESE (Testicular Sperm Extraction), which involves a biopsy, which is sent for cytology and image analysis.

MESA
- The most invasive of the surgical sperm retrieval procedures is the MESA (micro-epididymal sperm aspiration), which is performed under general anesthesia. MESA involves the cutting open of the scrotum to retrieve sperm. The wound is closed with dissolvable stitches. Swelling and pain subsides within a few days, during which prescribed painkillers may be taken to ease the pain.

Sperm extracted from any of the above procedures can be frozen and cryopreserved for future use. To learn more about cryopreservation, see our Sperm Freezing Guide and our Embryo Freezing Guide.


Who can benefit from surgical sperm retrieval procedures?

When there is an absence of sperm from the ejaculate, also known as azoospermia

When sperm is unable to reach the urethra for ejaculation

When there is an absence of the vas deferens, the ducts from which the sperm is transferred to the urethra.

Inadequate sperm production

Coping with infertility: We understand that anticipating the results of IVF can be grueling and stressful on couples, and the possibility of an unsuccessful outcome can be overwhelming. In spite of this, it is important that couples maintain a healthy and clear psyche. Plenty of rest and avoiding stress are highly recommended before, during and after your trip. Keep in mind that you are traveling, which can add more stress on the body. Drink lots of water and try to obtain ample Vitamin D from the sun and fresh air to conquer jetlag.

Choose Visit and Care:
Why should you go through the hassle of dealing with several different parties to make reservations and appointments with a doctor when we can handle all of that for you without it costing you a penny more than what you would pay if you were to do everything yourself directly. What is our incentive? We get paid by hospitals and clinics when we refer customers to them. In our agreement with the hospitals and clinics we work with, it states that our customers will not be charged any extra fee by a hospital or clinic, in order to compensate for our fees to them. So, if a procedure costs you 500 dollars when you arrange it through the hospital directly, it will also cost you 500 dollars when you arrange it through Visit and Care. Our goal is to connect our customers to top English-speaking medical professionals in their destination of choice. If you have any inquiries or would like to learn about a procedure that is not listed on our website, please feel free to contact us 24 hours a day, 7 days a week. We will return to you with an answer as soon as possible.

Our service and benefits include:

• Assistance in communicating with top medical professionals about your medical condition, before and after your procedure.
• Assistance booking hotels at discounted rates
• Optional airport pick-up and drop-off arrangements
• Optional tours around your destination city
• 24-hour, 365-day contact with us in case of any unforeseen emergencies or difficulties. Even though you are away from home, as a Visit and Care customer, you are never alone.


Infertility Treatment Centers

Acıbadem has signed a cooperation agreement with Harvard Medical International which is a world famous institution in terms of medical education and services.
Languages : English

  • Get a free quote from Acibadem Healthcare Group: Infertility Treatment Center
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Mexican Institute of Infertility - Guadalajara / Mexico
The Mexican Institute of Infertility is a multi-disciplinary establishment for men and women experiencing difficulties with reproduction. We offer the most modern treatments in Assisted Reproductive Technology…
Languages : Spanish, English

  • Get a free quote from Mexican Institute Of Infertility
  • Make an appointment with Mexican Institute Of Infertility
  • Ask your questions Mexican Institute Of Infertility's doctors.



Memorial IVF, Andrology and Genetic Center provides top quality service with its experienced team, strong infrastructure and modern treatment methods.
Languages : English, German

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  • Make an appointment with Memorial Health Group Tube Baby-andrology And Genetics Center
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Jinemed Hospital - ISTANBUL / Turkey
Jinemed Medical Center was founded in 1989 by Prof. Dr. Teksen Camlibel as a private clinic specializing in Obstetrics & Gynecology.
Languages : English, German, Turkish

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  • Make an appointment with Jinemed Hospital
  • Ask your questions Jinemed Hospital's doctors.



Cyprus IVF Center - FAMAGUSTA / Cyprus
CYPRUS IVF CENTER (CIC) was set up on the 22nd April 2005. We are proud to be affiliated with German Hospital IVF Center in Istanbul, established in 1996.
Languages : English, French

  • Get a free quote from Cyprus Ivf Center
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The German Hospital IVF Center and Bahceci Clinic has proven its distinctiveness and superiority over other centers in the sector with its pregnancy rates.
Languages : English, German

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UKCFA - London / United Kingdom
This clinic is for UK women who want to begin receiving treatment in their home country.
Languages : English

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  • Ask your questions Ukcfa's doctors.