Testicular sperm extraction

Testicular Sperm Extraction (TESE) is a surgical sperm retrieval procedure used in fertility treatment for men who have no sperm in their ejaculate. It is one of several methods used to extract sperm for use in Intracytoplasmic Sperm Injection (ICSI) treatment.

Procedure

TESE involves a biopsy of the testis, where a small amount of tissue is taken directly from the testis and used to extract sperm. This procedure is typically performed under local anesthesia, but can also be performed under general anesthesia. The extracted sperm can then be used in conjunction with In Vitro Fertilization (IVF) procedures.

Indications

TESE is indicated for men with non-obstructive azoospermia, a condition where a man has no sperm in his ejaculate. This can be due to a problem with sperm production in the testes, or due to a blockage in the reproductive tract. TESE is also used in cases where sperm cannot be ejaculated, such as in men with spinal cord injuries or other neurological conditions.

Risks and Complications

As with any surgical procedure, there are risks associated with TESE. These can include pain, infection, bleeding, and damage to the testes. There is also a risk that the procedure will not yield any viable sperm.

See Also

• In Vitro Fertilization
• Intracytoplasmic Sperm Injection
• Azoospermia

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