My wife and I have been married for 6 years without having children. I have no sperm and have been recommended for micro-TESE surgery.
Is this procedure painful? Is the surgery quick? Are there any post-operative restrictions? (Quoc Khai, Ba Ria - Vung Tau )
Reply:
Micro-TESE, also known as testicular microsurgery for sperm retrieval, is a modern technique for testicular tissue dissection to extract sperm for patients with azoospermia, replacing the classic methods of PESA and TESE testicular tissue dissection.
Micro-TESE is currently the optimal choice for men with non-obstructive azoospermia. With a highly magnifying microscope, surgeons can easily locate potential seminiferous tubules that may still contain sperm, and the minimal tissue removal reduces trauma and prevents damage to testicular function.
Depending on the extent of the procedure, you may only need local anesthesia or general anesthesia, so you will not feel any pain during the microsurgery.
Microsurgical microscopes are very expensive, so in the past, fertility centers often placed them in a separate operating room, far from the lab, leading to certain risks such as sample spillage during transport, affecting sample quality. Travel time also interrupted the surgery and prolonged the patient's anesthesia time. Furthermore, it could distract the doctor or surgeon from the operation.
At the Assisted Reproductive Technology Center, Tam Anh General Hospital, Ho Chi Minh City (IVFTA-HCMC), the microsurgical system is located right in the operating room and next to the embryology laboratory. Tissue samples are torn up, transferred to the laboratory for processing, and results are available almost immediately. This shortens the patient's surgical time by about 30%, and reduces the duration of anesthesia and post-operative care.
MSc. Dr. Le Dang Khoa (right) and his team perform the micro-TESE technique on a patient at IVFTA-HCMC. Photo : Phuong Trinh.
Compared to the past, when patients had to spend a lot of time and money on wound cleaning and suture removal, IVFTA-HCMC now uses a type of adhesive that can cover and seal the wound. After the procedure, you only need to take prescribed medication; there's no need for suture removal or wound cleaning, and you can shower normally. After 7 days, the adhesive layer peels off and the wound heals completely, allowing you to resume your normal activities and work, including heavy labor.
After surgery, men should have a regular urological check-up once a year, or possibly every 2-3 years, so that the doctor can reassess their functions and hormones and make appropriate adjustments.
MSc. Dr. Le Dang Khoa
Head of the Andrology Unit, Center for Reproductive Support,
Tam Anh General Hospital, Ho Chi Minh City
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