
Microscopic Testicular Sperm Extraction (MicroTESE)
- How it Works
- Suitable For
- Process
- Cost
- Results
- Success Rate
- FAQs
When a couple is unable to conceive due to non-obstructive azoospermia i.e. the absence of sperm cells in the semen, then Microsurgical Testicular Sperm Extraction or micro TESE treatment is recommended. We will learn all there is to know about the micro TESE procedure, success rate, cost, side effects, the procedure, and other details.
Microscopic Testicular Sperm Extraction (MicroTESE)
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What Is Micro TESE & How Does it Work?
Micro TESE or Microsurgical Testicular Sperm Extraction is a surgical procedure that is recommended in cases where sperm are produced in the testes but, these sperm are absent in the semen due to various issues. This condition is known as non-obstructive azoospermia. During Micro TESE procedure, sperm are directly retrieved from the testes by making a small incision. This procedure helps couples with zero sperm count in undergoing treatments like IVF. This treatment has a precise and microsurgical approach with minimal risk of damage to the testicular tissue.
Who Is The Right Candidate For Micro TESE?
What Are The Risks Or Side Effects Of Micro TESE?

low-risk procedure
Though the Micro TESE procedure is a low-risk procedure, it may cause minimal side effects, such as risk of infection, bleeding, bruising or infection at the incision site, pain, and anaesthesia-related complications. The experience of the fertility specialist plays a crucial role in a safe, risk-free Micro TESE treatment experience.
Step By Step Micro TESE Treatment Process
Here is a step-by-step process of an Micro TESE treatment
Pre-Care
Treatment
Post-Care
Patient preparation:
Prior to the treatment, the process is explained to the patient and is prepared for the surgery. This is a painless procedure as it is typically performed under general or local anesthesia to ensure patient’s comfort.
Microscopic Surgery:
A small cut is made in the scrotum to expose the testicles. A high-powered microscope is then used to identify the areas where sperm production is most likely to occur.
Sperm Extraction:
The extracted tissue is then carefully processed in the laboratory to extract healthy and viable sperm cells, which can be used for fertility treatments like intracytoplasmic sperm injection (ICSI) during an IVF (Invitro Fertilization) cycle.
Recovery:
After the surgery, the patient is monitored during recovery and discharged the same day.
How Much Does Micro TESE Cost In India?
The cost of the MICRO TESE treatment can typically range from INR 20,000 to INR 75,000. Although there are various factors that may impact the cost of the treatment, including the clinic location and reputation, doctor’s experience, and any additional treatments or medications that may be necessary.
Disclaimer: The Micro TESE treatment costs mentioned above are approximate and can vary. Additional charges for medications, diagnostic tests, and extra procedures may apply. Avail a free consultation with us to get a personalised treatment plan and an accurate cost estimate.
Micro TESE Success Rate
The success rate of micro TESE treatment is relatively good. Typically, the average statistics of retrieving sperm cells using micro TESE treatment is as high as over 60 per cent in the first attempt itself. The treatment is widely accepted and recommended as it involves the best rate of sperm retrieval with no harm to the testicles.
Benefits Of Micro TESE
The treatment offers the following benefits:
Higher Sperm Retrieval Rates:
As the micro TESE procedure is a type of microscopic surgery that helps fertility experts find and extract sperm directly under microscopic vision from the testicles, there is a higher chance of sperm retrieval. The technique targets the areas with active sperm production only, with precision and fewer complications
Less Tissue Damage:
The micro TESE procedure is considered one of the best methods to identify the dilated tubules containing sperms during the surgery, minimizing the risk of testicular tissue damage.
Increased Chances of Fertility:
The treatment offers hope and fulfils the dream of having their own biological child for couples dealing with male infertility, due to the absence of or inadequate sperm in the semen.
Diagnostic Benefits:
The treatment allows doctors to study extracted surrounding testicular tissue and rule out or ascertain factors associated with the condition leading to the absence of sperms in the ejaculate.
Decreased Risk Of Complications:
Compared to traditional TESE treatment, micro TESE treatment reduces the risks of complications, like hematomas, testicular fibrosis, and subsequent testicular atrophy.
Fewer Procedures:
The success rate of the micro TESE procedure is quite high compared to the conventional TESE procedure, therefore, reducing the need for repeated cycles.
Improved IVF Success Rates:
As the sperms extracted from micro TESE procedure are of better DNA quality than ejaculated sperms, it makes the procedure ideal for couples undergoing IVF procedures to have maximum chances of success.



