5. Testicular Sperm Extraction(TESE)

TESE is the operative removal of testicular tissue to collect living sperm for use in an IVF-ICSI procedure.

Men with azoospermia caused by germinal failure can now be treated successfully in many cases using testicular sperm extraction (TESE) and ICSI. Sperm can often be extracted from testicular tissue of azoospermic men with germinal failure, and used successfully for ICSI. A prior diagnostic testicle biopsy analyzed quantitatively can often predict the likelihood of finding such sperm during a TESE-ICSI attempt.


Under short GA+local analgesia, a small incision is made to reach the tunica vaginalis. Small sample of testicular tissue is obtained by excisional biopsy and we confirmed if the sperm is alive or dead under a microscope and then sutured back in layers.