Testicular biopsy and testicular sperm extraction (TeSE and MicroTeSE)

ABOUT TESTICULAR BIOPSY AND TESTICULAR SPERM EXTRACTION

Testicular biopsy and testicular sperm extraction (TeSE and MicroTeSE)

Male infertility can be caused by multiple issues. Sometimes it is necessary to extract tissue directly from the testicle to check for sperm, and/or harvest sperm that can then be used in assisted fertility.

A small incision is made through the scrotum and into the testicle. Tubules from the testicle are removed and sent to the laboratory to check to see if sperm are present. If present, the sperm can then be used for assisted fertility (eg IVF) or frozen and stored until needed.

A testicular biopsy or testicular sperm extraction (TeSE) can be performed under local anaesthetic in our rooms or day surgery unit, or under general anaesthetic in a day surgery unit.

A micro testicular sperm extraction (MicroTeSE) can be performed in a day surgery unit under general anaesthetic. Tubules are collected and then checked at the same time, to confirm the presence of sperm using an intraoperative, high powered, microscope.

Why is a testicular biopsy and/or sperm extraction required?

A testicular biopsy is performed to see if sperm is present and/or to retrieve sperm for assisted fertility.

Male infertility

Male infertility is the inability to conceive a child due to problems with sperm production, function, or delivery.

PATIENT JOURNEY

What does a testicular biopsy involve?

Prior to the procedure the scrotal hairs are clipped. You will be required to have blood tests and confirm your identity.

If the procedure is being done under local anaesthetic, anaesthetic is injected into the scrotum. Local anaesthetic stings initially, but the discomfort soon settles.

What does a testicular biopsy involve?

We make a small incision into the scrotum and down to the testicle.

Tubules from within the testicle are removed and sent to the laboratory for analysis.

We close the incision with dissolvable stitches.

What is the recovery after a testicular biopsy?

Following the procedure, we recommend you take it easy for 48 hours.

Ice the area as soon as possible to reduce bruising and swelling.

Avoid strenuous activity and exercise for two weeks.

What is the recovery after a testicular biopsy?

You may shower as per normal but avoid using soap, powder and creams to the area for 48 hours.

You may resume sexual activity when comfortable.

If you have sedation or a general anaesthetic, you will not be able to drive for 24 hours.

OUR TEAM

The following doctors in our practice perform testicular biopsy and testicular sperm extraction (TeSE and MicroTeSE):

Dr Glen Wood

Urologist

Dr Jonathan Chambers

Urologist

Dr Jason Paterdis

Urologist

Book an appointment

Book an appointment to discuss this procedure with one of our doctors.