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micro TESE

micro TESE

What is it ?

What is micro TESE?

Microdissection Testicular Sperm Extraction (microTESE) is a unique and precise surgery performed in cases of non-obstructive azoospermia, a condition in which there are no sperm cells in the seminal fluid due to failure of sperm production in the testicles.

In this surgery, we use a high-magnification surgical microscope, which allows us to identify and isolate the testicular tubules that are most likely to contain sperm cells – even when sperm production is very poor or concentrated in isolted areas of the testicle.

How is the surgery performed?

The procedure is performed under general anesthesia and usually lasts between two and three hours. We systematically scan the testicular tissue under an advanced surgical microscope and carefully select the appropriate areas for sampling. The samples are immediately transferred to the laboratory for initial sperm detection and subsequent prolonged in-depth search under X6000 magnification.

At the end of the surgery, the testicle is carefully closed with maximum preservation of the tissue, in order to maintain its hormonal function.

Advantages of microtissue analysis

  • Higher chances of success in finding sperm compared to traditional biopsy methods (TESA, TESE).
  • Maximum preservation of testicular tissue, thanks to the targeted selection of only areas with high potential for sperm production.

Who is the surgery suitable for?

The surgery is intended for men diagnosed with non-obstructive azoospermia.

Why doing it with us?

At the Multidisciplinary Center for Female and Male Fertility, we make sure to use and implement the 4 essential keys (in our opinion) to success in treating non-obstructive azoospermia:

  1. Proper preparation with hormonal therapy helps increase the chance of retrieving sperm. Also, the response to hormonal therapy can teach us about the true chance of finding sperm during surgery.
  2. MicroTESE surgery in the hands of a highly experienced and professional surgeon in the field: Choosing a surgeon with extensive experience and expertise in performing microTESE is critical. A professional surgeon ensures precise and perfect execution of the surgery, which increases the chances of retrieving sperm cells and allows for more successful results.
  3. Opening a sperm search window ranging from 14-16 hours with in-depth search and X6000 high magnification of a special microscope: Using a special microscope with high magnification and a long search window allows for a more successful and efficient search of sperm cells after surgery. We collaborate with the leading in-depth search laboratories in Israel.
  4. Egg retrieval combined with surgery to get the most out of the combination of fresh sperm and fresh eggs: Perfect coordination between egg retrieval and microTESE surgery allows for the use of fresh sperm and fresh eggs, which significantly increases the chances of fertilization and treatment success. The combination of fresh sperm and eggs ensures the best results.

Persuasion: The Key to Success in Male Fertility Treatment

 

The treatment of male fertility in general and azoospermia in particular is complex and often requires maximizing all efforts to achieve the desired results. This is the effort we are so good at and known for. We, Dr. Barak and the clinic team, invest all the experience and efforts required to provide you with the best treatment.

Dr. Barak and the clinic team: committed to your success. At our clinic, we understand the immense importance of personalized and precise care for each patient. Each stage of the treatment process is carefully structured, with an emphasis on professionalism and humanity without compromise.

Our effort is your success. Our dedication is what drives us every day, in every session, and in every treatment. It is what drives us to maximize all our efforts and find the most unique and advanced solutions for you.

Together we will find a solution that is just right for you.

For a consultation with Dr. Barak, leave your details and we will get back to you as soon as possible.

Meet Dr. Shlomi Barak

Director of the Multidisciplinary Center for Female and Male Fertility and Director of the Fertility and In Vitro Fertilization Unit at Assuta University Hospital in Ashdod. A specialist in obstetrics and gynecology, female fertility and IVF, he has super-specialty in andrology, male fertility and microsurgery.  

☻Dr. Barak has many years of rich experience in managing one of the largest and most successful fertility clinics in Australia, which has gained a world-wide reputation in the fields of female fertility and IVF, male fertility, and providing second opinions to patients suffering from low ovarian reserve.

He also engages in clinical and basic research and has published dozens of articles in the world of medicine.

Dr. Barak’s credo is personal attention alongside creative and innovative treatment.

We do everything we can to ensure you have the highest chance of success.

patient empowerment

At our center, the patient is a full and active partner in the medical process and in decision-making throughout. We are committed to partnership and full transparency, and in our opinion, they are an integral part of successful treatment.

Personalized treatment

We believe in personalized care that is precisely tailored to your journey, needs, and concerns.

Support envelope

A skilled and professional team is at the disposal of patients, including special personal support in complex cases. For us, a sensitive and compassionate envelope of support is an integral part of the service and care we provide.

Progress and innovation

The center operates in ongoing collaborations with leading centers in Israel and around the world in the field of fertility. We are up-to-date with all the latest scientific and technological innovations and developments in the field.