Meet With Our Specialists
Dr Anushka Madan
The Micro TESE procedure is a highly advanced surgical sperm retrieval technique commonly recommended for men dealing with non-obstructive azoospermia (NOA)—a condition where sperm production is extremely low or absent in the semen. This treatment offers hope to couples who dream of becoming parents using their own biological sperm.
What Is the Micro TESE Procedure?
Micro TESE (Microdissection Testicular Sperm Extraction) is a special kind of surgery that uses a very strong microscope to pull out sperm directly from the very small seminiferous tubules in the testicles.
Unlike standard testicular biopsies, this method finds the healthiest sperm-producing areas. This makes it a better choice for men who have serious problems with sperm production.
Given that there is no obstruction, this method is often suggested before considering the use of donor sperm and, in general, is recommended for people who have non-obstructive azoospermia.
Who Needs Micro TESE Surgery?
Men who face zero or extremely low sperm count in semen analysis are often advised to undergo Micro TESE surgery. It is particularly recommended for:
Common Indications
- Non-obstructive azoospermia
- Genetic or hormonal infertility conditionsHistory of undescended testes
- Failed vasectomy reversal
- Failed sperm retrieval from other methods
When Doctors Prefer Micro TESE Over Other Methods ?
Doctors choose Micro TESE for azoospermia when:
- Sperm production is irregular or minimal
- Previous attempts such as TESA, PESA, or conventional TESE have failed
- There is a possibility of retrieving even a very small quantity of sperm
This procedure offers the highest chance of identifying viable sperm when no sperm is found in ejaculation.
Benefits Of This Treatment
Choosing the PESA Procedure offers several advantages:
Minimally invasive and stitch-freeQuick recovery time
Highly effective for obstructive azoospermia
Painless with local anesthesia
Compatible with ICSI for higher pregnancy success rates
No hospital stay required
Patient-friendly service with the help of experienced embryologists and andrologists are provided by us at Vrinda Fertility.
How the Micro TESE Procedure Is Done?
The Micro TESE procedure is done in a medical operating room by trained specialists in urology or andrology.
Step-by-Step Process
- Types of anesthesia is administered.
- Important sections of androsternal tissue are microsurgically incised and exposed.
- Heart of the organ is then microsurgically dissected from fatty tissue and placed in a surgical miroms.
- Healthy sperm-producing tubules are identified.
- Micro-instruments are used to extract viable sperm.
- Sperm extracted is used in ICSI or cryopreserved.
Microdissection TESE is done to minimize tissue damage by only orchestrally excising sperm-producing tubules,
Micro TESE Success Rate
The Micro TESE procedure is performed by a trained urologist or andrologist in a controlled operating environment.
Step-by-Step Process
Local or general anesthesia is administered.
A microsurgical incision is made in the testicular tissue.
A powerful surgical microscope is used to identify healthy sperm-producing tubules.
Viable sperm cells are extracted using micro-instruments.
Extracted sperm are frozen (cryopreserved) or used in ICSI (Intracytoplasmic Sperm Injection).
Microdissection TESE ensures that only sperm-rich tubules are targeted, protecting testicular structure and reducing tissue damage.
Micro TESE Cost in India
The Micro TESE cost in India varies based on the clinic, location, surgeon’s expertise, and additional procedures such as sperm freezing or ICSI.
Approximate Cost Range
₹20,000 to ₹1,00,000 depending on the treatment plan.
What Influences the Cost?
Laboratory technology
Sperm cryopreservation charges
IVF/ICSI requirement after sperm retrieval
Some fertility centers offer package plans combining Micro TESE and ICSI, giving more cost-efficiency.
Benefits of Micro TESE Procedure
Higher sperm retrieval rates than other methods
Reduces testicular tissue damage
Ideal for severe infertility cases
Can be combined with ICSI for pregnancy
Avoids unnecessary donor sperm usage
Comparison With Other Surgical Sperm Retrieval Methods
| Method | Best For | Success Rate |
|---|---|---|
| TESA | Obstructive azoospermia | Moderate |
| PESA | Blockage at epididymis | Good |
| Conventional TESE | Mild issues | Medium |
| Micro TESE Procedure | Non-obstructive azoospermia | Highest |
Choosing the Best Clinic for Micro TESE
When selecting a fertility clinic, ensure the following:
- Experienced Andrologist/Urologist
- Advanced microsurgical setup
- On-site embryology & ICSI lab
- Transparent cost structure
- Ethical treatment protocols
Clinics using the latest Microdissection TESE technology generally provide better outcomes than conventional testicular surgeries.
Conclusion
The Micro TESE procedure has transformed the future of parenthood for men facing severe sperm production issues, especially non-obstructive azoospermia. With the right expertise, even a very small amount of viable sperm can help achieve a successful pregnancy through ICSI. At Vrinda Fertility, our advanced microsurgical setup, experienced andrologists, and specialized IVF-ICSI laboratory ensure the highest care standards and improved results with Micro TESE surgery.
Consult our specialists at Vrinda Fertility — Noida & Delhi Centres
