Microdissection Testicular Sperm Extraction Treatment in India
About Microdissection Testicular Sperm Extraction
Key Highlights
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Gold standard procedure for sperm retrieval in non-obstructive azoospermia.Utilizes high-powered surgical microscope for precise, targeted sperm extraction.Maximizes sperm yield while minimizing damage to testicular tissue and blood supply.Higher success rates in finding viable sperm compared to conventional TESE or TESA.Enables biological fatherhood for men with severe testicular failure through ICSI.Performed by a specialized andrologist or urologist with microsurgical expertise./ul
Who is this surgery for?
- Non-obstructive azoospermia (NOA) where sperm production is severely impaired (e.g., Sertoli-cell-only syndrome, maturation arrest).
- Previous failed attempts at sperm retrieval using conventional TESE or testicular sperm aspiration (TESA).
- Men with Klinefelter syndrome or other genetic conditions affecting spermatogenesis.
- History of cryptorchidism (undescended testes) or testicular trauma affecting sperm production.
- Post-chemotherapy or radiation-induced azoospermia where spermatogenesis may be focal.
- Severe oligospermia where no sperm is found in the ejaculate for ICSI.
How to prepare
- Comprehensive fertility evaluation including hormonal profiles (FSH, LH, Testosterone) and genetic testing (karyotype, Y-microdeletion).
- Detailed counseling with the andrologist and reproductive specialist about the procedure, success rates, and ICSI process.
- Pre-operative blood tests and medical clearance for anesthesia.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the doctor, typically 7-10 days prior.
- Arranging for sperm cryopreservation on the same day if sperm is successfully retrieved.
- Fasting for 6-8 hours before the surgery as per anesthesia guidelines.
Risks & possible complications
- Bleeding, hematoma (blood collection), or infection at the surgical site.
- Temporary or, rarely, permanent reduction in testosterone production.
- Testicular atrophy (shrinkage) or damage to testicular blood supply.
- Chronic testicular pain or discomfort.
- Risk of not finding any viable sperm, leading to an unsuccessful retrieval.
- General anesthesia risks (allergic reaction, respiratory issues).
- Scarring within the testicle that could affect future procedures.
Recovery & hospital stay
- Hospital discharge typically on the same day or after a short observation period.
- Wearing a scrotal support (jockstrap) for 1-2 weeks to minimize swelling and provide comfort.
- Applying ice packs to the scrotal area intermittently for the first 48 hours to reduce swelling.
- Prescription of pain medications and possibly antibiotics to prevent infection.
- Avoiding strenuous activities, heavy lifting, and sexual intercourse for 2-3 weeks.
- Follow-up appointment with the andrologist to monitor healing and discuss biopsy results.
- Resuming normal daily activities gradually as comfort allows, usually within a week.
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Typical hospital stay:
0-1 days (Typically outpatient or 24-hour observation)
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Expected recovery time:
1-2 weeks for normal activity, 2-3 weeks for full recovery and strenuous exercise
Frequently Asked Questions
If you are considering microdissection testicular sperm extraction in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with andrology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform microdissection testicular sperm extraction. MediFyr helps you compare andrologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for microdissection testicular sperm extraction compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 80 Thousand – 250 Thousand | 0-1 days (Typically outpatient or 24-hour observation) | ~ 1-2 weeks for normal activity, 2-3 weeks for full recovery and strenuous exercise | Know More |
| Turkey | TRY 280 Thousand – 875 Thousand | 0-1 days (Typically outpatient or 24-hour observation) | ~ 1-2 weeks for normal activity, 2-3 weeks for full recovery and strenuous exercise | Know More |
Olivia Singh, 34, is a pediatric...
Olivia Singh, 34, is a pediatric nurse who has always dreamed of motherhood. Her husband, Aryan, was diagnosed with non-obstructive azoospermia (NOA) after a year of unexplained infertility. Multiple semen analyses showed zero sperm. Their reproductive endocrinologist referred them to an andrologist. The doctor explained that mTESE was the only potential option to find sperm directly from Aryan's testicular tissue, as his body wasn't releasing any. The procedure day was emotionally charged but straightforward; Aryan was under general anesthesia. The andrologist successfully retrieved a small number of viable sperm. These were immediately cryopreserved. Aryan recovered over a week with moderate swelling and tenderness, managed with ice and pain medication. Olivia felt a rollercoaster of guilt (that her body was fine) and hope. The successful retrieval was a profound relief, transforming their despair into cautious optimism as they moved forward with IVF using the frozen sperm.