What is TESE?<\/h3>\n\n\n\n
Dur\u00ading TESE, tis\u00adsue sam\u00adples are tak\u00aden from the testis via a minor sur\u00adgi\u00adcal pro\u00adce\u00addure and sub\u00adse\u00adquent\u00adly exam\u00adined for sperm in the lab\u00ado\u00adra\u00adto\u00adry. The pro\u00adce\u00addure is usu\u00adal\u00adly per\u00adformed by spe\u00adcial\u00adized urol\u00ado\u00adgists or androl\u00ado\u00adgists. <\/p>\n\n\n\n
TESE is par\u00adtic\u00adu\u00adlar\u00adly con\u00adsid\u00adered in cas\u00ades of azoosper\u00admia<\/strong>, when no sperm can be detect\u00aded in the ejac\u00adu\u00adlate despite repeat\u00aded exam\u00adi\u00adna\u00adtions. A dis\u00adtinc\u00adtion is made between obstruc\u00adtive azoosper\u00admia<\/strong>, where the sem\u00adi\u00adnal ducts are blocked or absent, and non-obstruc\u00adtive azoosper\u00admia (NOA)<\/strong>, where sperm pro\u00adduc\u00adtion in the testis is impaired. <\/p>\n\n\n\n If sperm are found dur\u00ading TESE, they can be used for fer\u00adtil\u00adi\u00adty treat\u00adment via ICSI (intra\u00adcy\u00adto\u00adplas\u00admic sperm injec\u00adtion)<\/strong><\/a> and, if nec\u00ades\u00adsary, frozen for lat\u00ader treat\u00adment.<\/p>\n\n\n\n Whether TESE is advis\u00adable depends pri\u00admar\u00adi\u00adly on the cause of the azoosper\u00admia.<\/p>\n\n\n\n In obstruc\u00adtive azoosper\u00admia, sperm are pro\u00adduced in the testis but can\u00adnot reach the ejac\u00adu\u00adlate due to a block\u00adage or miss\u00ading sem\u00adi\u00adnal ducts. Pos\u00adsi\u00adble caus\u00ades include: <\/p>\n\n\n\n In non-obstruc\u00adtive azoosper\u00admia, on the oth\u00ader hand, sperm pro\u00adduc\u00adtion with\u00adin the testis itself is severe\u00adly lim\u00adit\u00aded. How\u00adev\u00ader, sperm may still be present in indi\u00advid\u00adual areas of the tes\u00adtic\u00adu\u00adlar tis\u00adsue. In these cas\u00ades, Micro-TESE is par\u00adtic\u00adu\u00adlar\u00adly suit\u00adable for sperm retrieval. <\/p>\n\n\n\n The use of tes\u00adtic\u00adu\u00adlar sperm is also being sci\u00aden\u00adtif\u00adi\u00adcal\u00adly inves\u00adti\u00adgat\u00aded in cas\u00ades of increased sperm DNA frag\u00admen\u00adta\u00adtion<\/a>. How\u00adev\u00ader, TESE based sole\u00adly on increased DNA frag\u00admen\u00adta\u00adtion is not a stan\u00addard treat\u00adment and should only be per\u00adformed after indi\u00advid\u00adual med\u00adical con\u00adsid\u00ader\u00ada\u00adtion. <\/p>\n\n\n\n A care\u00adful andro\u00adlog\u00adi\u00adcal eval\u00adu\u00ada\u00adtion<\/a> is impor\u00adtant before TESE. Azoosper\u00admia should be con\u00adfirmed by at least two spermiograms<\/a>. Depend\u00ading on the find\u00adings, diag\u00adnos\u00adtics also include a phys\u00adi\u00adcal exam\u00adi\u00adna\u00adtion, hor\u00admone lev\u00adels, an ultra\u00adsound of the testes, and genet\u00adic test\u00ading. <\/p>\n\n\n\n TESE is per\u00adformed in coop\u00ader\u00ada\u00adtion with an expe\u00adri\u00adenced urol\u00ado\u00adgist or androl\u00ado\u00adgist at a spe\u00adcial\u00adized cen\u00adter in Munich. Before the pro\u00adce\u00addure, a com\u00adpre\u00adhen\u00adsive andro\u00adlog\u00adi\u00adcal diag\u00adno\u00adsis<\/a> is car\u00adried out to clar\u00adi\u00adfy the cause and assess which sperm retrieval method is suit\u00adable. TESE is usu\u00adal\u00adly per\u00adformed on an out\u00adpa\u00adtient basis. <\/p>\n\n\n\n Before the pro\u00adce\u00addure, the nec\u00ades\u00adsary pre\u00adlim\u00adi\u00adnary exam\u00adi\u00adna\u00adtions are car\u00adried out and the sur\u00adgi\u00adcal process is dis\u00adcussed. At our part\u00adner facil\u00adi\u00adty, TESE is usu\u00adal\u00adly per\u00adformed under a short gen\u00ader\u00adal anes\u00adthet\u00adic. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n The tes\u00adtic\u00adu\u00adlar sheath is care\u00adful\u00adly opened, and small tis\u00adsue sam\u00adples are tak\u00aden from the testis. Depend\u00ading on the find\u00adings and pre\u00adlim\u00adi\u00adnary diag\u00adno\u00adsis, sam\u00adples can be tak\u00aden from one or both sides. The retrieved tes\u00adtic\u00adu\u00adlar tis\u00adsue is then exam\u00adined in the lab\u00ado\u00adra\u00adto\u00adry for the pres\u00adence of sperm. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n If sperm are found in the retrieved tes\u00adtic\u00adu\u00adlar tis\u00adsue, they are then cry\u00adop\u00adre\u00adserved in sev\u00ader\u00adal straws and can be used for lat\u00ader ICSI treat\u00adment.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n Short-term mon\u00adi\u00adtor\u00ading is required after the pro\u00adce\u00addure. In the first few days, pain, swelling, or bruis\u00ading may occur in the tes\u00adtic\u00adu\u00adlar area. Phys\u00adi\u00adcal exer\u00adtion should be avoid\u00aded in the fol\u00adlow\u00ading days. Cool\u00ading mea\u00adsures can help alle\u00advi\u00adate dis\u00adcom\u00adfort and swelling. <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n In Micro-TESE (micro-TESE)<\/strong>, the tes\u00adtic\u00adu\u00adlar tis\u00adsue is exam\u00adined using an oper\u00adat\u00ading micro\u00adscope. This allows for the tar\u00adget\u00aded iden\u00adti\u00adfi\u00adca\u00adtion and removal of sem\u00adi\u00adnif\u00ader\u00adous tubules where the prob\u00ada\u00adbil\u00adi\u00adty of sperm pres\u00adence is high\u00ader. At the same time, the amount of tes\u00adtic\u00adu\u00adlar tis\u00adsue removed can be reduced. <\/p>\n\n\n\n The pro\u00adce\u00addure is par\u00adtic\u00adu\u00adlar\u00adly suit\u00adable when sperm pro\u00adduc\u00adtion in the testis is severe\u00adly lim\u00adit\u00aded and may only be pre\u00adserved in indi\u00advid\u00adual areas. Cur\u00adrent guide\u00adlines on male infer\u00adtil\u00adi\u00adty<\/a> view Micro-TESE as the pre\u00adferred method for sur\u00adgi\u00adcal sperm retrieval in non-obstruc\u00adtive azoosper\u00admia. <\/p>\n\n\n\n Even after an unsuc\u00adcess\u00adful con\u00adven\u00adtion\u00adal TESE, Micro-TESE can still find sperm in select\u00aded cas\u00ades. Stud\u00adies also show evi\u00addence of ben\u00ade\u00adfits for cer\u00adtain his\u00adto\u00adlog\u00adi\u00adcal find\u00adings such as Ser\u00adtoli-Cell-Only syn\u00addrome (SCO). How\u00adev\u00ader, suc\u00adcess\u00adful sperm retrieval can\u00adnot be guar\u00adan\u00adteed even with Micro-TESE. <\/p>\n\n\n\n The prob\u00ada\u00adbil\u00adi\u00adty of find\u00ading sperm dur\u00ading TESE depends sig\u00adnif\u00adi\u00adcant\u00adly on the under\u00adly\u00ading cause. In cas\u00ades of severe\u00adly lim\u00adit\u00aded sperm pro\u00adduc\u00adtion, the chances of sperm retrieval<\/a> can vary sig\u00adnif\u00adi\u00adcant\u00adly and can only be pre\u00addict\u00aded to a lim\u00adit\u00aded extent before the pro\u00adce\u00addure. <\/p>\n\n\n\n If sperm are retrieved, they can be used for ICSI treat\u00adment. The chances of preg\u00adnan\u00adcy and live birth then depend on var\u00adi\u00adous fac\u00adtors \u2013 in par\u00adtic\u00adu\u00adlar the age and fer\u00adtil\u00adi\u00adty of the female part\u00adner as well as oth\u00ader indi\u00advid\u00adual cir\u00adcum\u00adstances of the cou\u00adple. There\u00adfore, we dis\u00adcuss the prospects of suc\u00adcess for TESE and sub\u00adse\u00adquent ICSI indi\u00advid\u00adu\u00adal\u00adly as part of the fer\u00adtil\u00adi\u00adty treat\u00adment. <\/p>\n\n\n\n If sperm are found dur\u00ading TESE, they can be cry\u00adop\u00adre\u00adserved and stored for lat\u00ader ICSI treat\u00adment<\/strong>. Dur\u00ading ICSI, a sin\u00adgle sperm cell is intro\u00adduced direct\u00adly into an egg cell. <\/p>\n\n\n\n<\/div>\n\n\n\nWhen is TESE use\u00adful?<\/h3>\n\n\n\n
![](\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/TESE-.png\" "\\"TESE\\"")
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TESE treat\u00adment pro\u00adce\u00addure in Munich<\/h3>\n\n\n\n
\n\n\n1. PREPARATION AND ANESTHESIA<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n\n\n\n\n2. Retrieval and exam\u00adi\u00adna\u00adtion of tes\u00adtic\u00adu\u00adlar tis\u00adsue<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n\n\n\n\n3. Cry\u00adop\u00adreser\u00adva\u00adtion of sperm<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n\n\n\n\n4. After\u00adcare and heal\u00ading process<\/span>\n\n\n\n<\/span><\/span><\/span>\n<\/div>\n\n\n\n\n\n<\/div>\n\n\n\nTESE or Micro-TESE: What is the dif\u00adfer\u00adence?<\/h3>\n\n\n\n
<\/div>\n\n\n\n![](\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/iStock-1191207295-scaled.jpg\" "\\"Happy")
\n\n\n\nWhat are the suc\u00adcess rates for TESE and ICSI?<\/h3>\n\n\n\n
<\/div>\n\n\n\n\nWhat hap\u00adpens after a suc\u00adcess\u00adful TESE?<\/h3>\n\n\n\n