About Testicular Biopsy Bilateral
Key Highlights
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Provides a definitive diagnosis for the cause of male infertility, particularly azoospermia.Helps determine if sperm retrieval for IVF/ICSI (Intracytoplasmic Sperm Injection) is possible.Can differentiate between obstructive and non-obstructive causes of infertility.Minimally invasive procedure with relatively small incisions.Offers critical information to guide further treatment and family planning decisions.
Who is this surgery for?
- Non-obstructive azoospermia (no sperm in semen due to production issues).
- Obstructive azoospermia (sperm production is normal but blocked from exiting).
- Severe oligospermia (extremely low sperm count) where the cause is unclear.
- Prior to sperm retrieval procedures for assisted reproduction (TESE, microTESE).
- Evaluation of testicular function after trauma, infection, or prior surgery.
- Suspected testicular failure or specific genetic conditions affecting sperm production.
How to prepare
- Complete a thorough medical evaluation and history review with your urologist.
- Undergo necessary pre-operative tests, which may include blood tests and imaging.
- Discuss all current medications, especially blood thinners, with your doctor; you may need to stop some temporarily.
- Fast (no food or drink) for several hours before the procedure if general anesthesia is planned.
- Arrange for someone to drive you home after the procedure, as you will not be able to drive.
- Shower and clean the scrotal area thoroughly on the day of the procedure.
- Wear loose, comfortable clothing to the hospital or clinic.
Risks & possible complications
- Bleeding, bruising, or hematoma (collection of blood) in the scrotum.
- Infection at the incision site or within the testicle (orchitis).
- Pain, swelling, or discomfort in the scrotum and testicles.
- Injury to structures within the testicle, potentially affecting hormone production.
- Rare risk of damage to the epididymis or vas deferens.
- Possible formation of a sperm granuloma (inflammatory reaction to leaked sperm).
- Rare allergic reaction to anesthesia or other medications used.
Recovery & hospital stay
- Plan for rest and limit physical activity for the first 24-48 hours. Avoid heavy lifting and strenuous exercise for 1-2 weeks.
- Apply ice packs to the scrotal area intermittently for the first day to reduce swelling and pain.
- Wear a supportive garment (athletic supporter or snug underwear) for several days to provide comfort and reduce swelling.
- Keep the incision site clean and dry. Follow your doctor's instructions on showering and wound care.
- Take prescribed pain medications and antibiotics as directed.
- Avoid sexual activity and ejaculation for the period recommended by your urologist, typically 1-2 weeks.
- Attend all follow-up appointments to discuss biopsy results and monitor healing.
- Contact your doctor immediately if you experience signs of infection (fever, increased redness, pus) or severe pain/swelling.
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Typical hospital stay: 0-1 days (Often performed as a day procedure)
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Expected recovery time: 1-2 weeks for normal activities, 2-3 weeks for strenuous exercise
Frequently Asked Questions
If you are considering testicular biopsy bilateral in India, these questions and answers can help you make a confident, informed decision.
Popular choices for testicular biopsy bilateral in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform testicular biopsy bilateral. MediFyr helps you compare urologists 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 testicular biopsy bilateral compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 25 Thousand – 80 Thousand | 0-1 days (Often performed as a day procedure) | ~ 1-2 weeks for normal activities, 2-3 weeks for strenuous exercise | Know More |
| Turkey | TRY 87.5 Thousand – 280 Thousand | 0-1 days (Often performed as a day procedure) | ~ 1-2 weeks for normal activities, 2-3 weeks for strenuous exercise | Know More |
Top hospitals for Testicular Biopsy Bilateral in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing testicular biopsy bilateral.
Diya Roy, a 32-year-old software engineer,...
Diya Roy, a 32-year-old software engineer, had been trying to conceive with her husband for over two years. Fertility tests revealed her husband had azoospermia (no sperm in his semen). As a couple deeply committed to starting a family, they were devastated but determined to explore all options. His urologist explained that a bilateral testicular biopsy was the definitive procedure to determine if sperm production was occurring within the testicles themselves, which could be retrieved for IVF with ICSI. The procedure was performed under local anesthesia. Diya's husband described it as uncomfortable and emotionally taxing, but manageable. Recovery involved a few days of soreness and ice packs. The biopsy results were a bittersweet victory: they found viable sperm in one testicle. While the emotional rollercoaster from diagnosis to procedure was intense, filled with fear of a definitive 'no', the outcome provided a tangible path forward. The hope of biological parenthood, though now involving complex IVF, replaced the crushing uncertainty, bringing them closer as a couple.
Urologists for Testicular Biopsy Bilateral
Explore experienced urologists who regularly perform testicular biopsy bilateral and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore