Testicular Sperm Extraction (TESE) Specialists in Atlanta
Testicular Sperm Extraction (TESE) is a specialized procedure used to retrieve sperm directly from the testicles in men who experience fertility issues. It is a vital option for men with little to no sperm present in their ejaculate, allowing them to father children through assisted reproductive techniques like in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).
What is Testicular Sperm Extraction (TESE)?
Testicular Sperm Extraction (TESE) is a surgical procedure where a small amount of tissue is extracted from the testicles. The extracted tissue is then examined in a lab to locate viable sperm, which can be used for fertility treatments. This procedure is most commonly performed on men with:
- Azoospermia (a condition where no sperm is present in the semen)
- Men who have undergone vasectomy but wish to father children
- Genetic or hormonal issues affecting sperm production
- Previous failed attempts at sperm retrieval through less invasive techniques
Who Should Consider Testicular Sperm Extraction (TESE)?
TESE is recommended for men who have trouble producing sperm naturally due to conditions such as:
- Non-obstructive azoospermia: A condition where the testicles are not producing enough sperm.
- Obstructive azoospermia: Caused by a blockage that prevents sperm from being ejaculated.
- Failed Vasectomy Reversal: Men who have undergone vasectomy but failed to regain sperm in their semen after reversal surgery.
- Male infertility due to hormonal or genetic factors: Men whose sperm production is impacted by hormonal imbalances or genetic conditions.
By retrieving viable sperm directly from the testicles, men can overcome these challenges and pursue fertility treatments.
How is Testicular Sperm Extraction (TESE) Performed?
Testicular Sperm Extraction is an outpatient procedure, often performed under local or general anesthesia to ensure comfort. The process typically follows these steps:
- Preparation: The surgical area is cleaned, and local anesthesia is administered to numb the area or general anesthesia is given to keep the patient asleep during the procedure.
- Tissue Extraction: A small incision is made in the scrotum to access the testicles. The surgeon extracts a small amount of testicular tissue.
- Sperm Retrieval: The extracted tissue is immediately sent to a laboratory where embryologists examine it for viable sperm. If sperm is found, it is frozen (cryopreserved) for future use in fertility treatments such as IVF or ICSI.
- Post-Procedure Care: The incision is closed with stitches, and the patient is moved to a recovery room. Most patients can go home the same day.
The procedure typically takes between 30 minutes to an hour.
Recovery After Testicular Sperm Extraction (TESE)
After the procedure, you will be given post-care instructions to ensure a smooth recovery:
- Rest and Recovery: You may experience mild pain, swelling, or discomfort for a few days. It's advised to rest, avoid strenuous activities, and wear supportive underwear to minimize discomfort.
- Pain Management: Over-the-counter pain medications like acetaminophen or ibuprofen can be used to relieve discomfort.
- Follow-Up: Schedule a follow-up visit with your urologist to ensure proper healing and review lab results. You will be informed if viable sperm was retrieved and cryopreserved.
Request Appointment
Success Rates of TESE
The success rate of retrieving viable sperm through TESE varies depending on the underlying cause of infertility. For men with obstructive azoospermia, success rates can be as high as 95%. For men with non-obstructive azoospermia, the success rate is typically lower but still provides hope for fertility treatments.
It's important to work closely with your healthcare provider to understand your specific chances of success based on your condition and overall health.
Why Choose Testicular Sperm Extraction?
Testicular Sperm Extraction offers a significant opportunity for men facing male infertility to father children. TESE provides hope for those diagnosed with azoospermia or other fertility challenges by offering a direct way to retrieve sperm for fertility treatments.
