MicroTESE and Sperm Retrieval · Microsurgical Male Fertility Surgery in Bangkok

TESE involves open testicular sperm extraction where random samples are taken from your testicle. MicroTESE is a more advanced version using an operating microscope to precisely identify and extract sperm-producing tubules · offering the highest success rates for non-obstructive azoospermia. TESA is a simpler needle aspiration directly from your testis. PESA involves needle aspiration from your epididymis · typically for obstructive azoospermia. MESA is microsurgical epididymal aspiration · considered the gold standard for obstructive azoospermia due to its precision and higher yield.

Your chance of finding sperm depends significantly on the underlying cause of your azoospermia. If you have obstructive azoospermia · procedures like PESA or MESA offer a near 100% sperm retrieval rate. For non-obstructive azoospermia · MicroTESE provides a 40-60% chance of finding sperm · varying based on your specific diagnosis and prior hormonal or genetic testing. We will discuss your individual prognosis during your consultation.

Sperm retrieval procedures are designed to collect sperm for immediate use in IVF/ICSI and do not typically restore natural fertility or sperm production in your ejaculate. However · for some specific causes of azoospermia · such as a treatable varicocele or a correctable hormone imbalance · addressing the underlying issue might improve your natural sperm production over time. This is something we will evaluate during your assessment.

You can expect to resume light activities within 1 week following your sperm retrieval procedure. Full activity · including strenuous exercise · is generally safe after 2-4 weeks. We recommend restricting heavy lifting and sexual activity for at least 2 weeks to ensure proper healing. It is normal to experience some mild scrotal swelling and bruising for 1-2 weeks · which typically resolves on its own.

The cost of sperm retrieval in Bangkok varies significantly depending on the specific procedure you require · with PESA being the lowest and MicroTESE being the highest due to its complexity. Please note that the IVF/ICSI cycle at our partner fertility center is a separate cost. We highly recommend booking a consultation with us for a personalized quote that precisely outlines all costs and coordinates with your fertility treatment cycle.

The success of sperm retrieval is measured by finding viable sperm for IVF/ICSI. For obstructive azoospermia · success is nearly 100%. With MicroTESE for non-obstructive azoospermia · success rates range from 40-60%. Long-term · the retrieved sperm can be cryopreserved and used for multiple IVF/ICSI cycles. Your overall pregnancy success will then depend on the quality of the retrieved sperm and the female partner's fertility factors.

For MicroTESE and most other sperm retrieval procedures · you will typically receive general anesthesia · meaning you will be completely asleep and comfortable throughout the procedure. For simpler procedures like TESA or PESA · local anesthesia with sedation might be an option · numbing the area while you remain relaxed. Our anesthesiologist will discuss the best and safest option for your specific procedure and health during your pre-operative assessment.

At your initial consultation · you will meet with our experienced urologist specializing in male fertility. We will review your medical history · conduct a physical examination · and discuss any previous test results · such as hormone levels or genetic screenings. We may recommend further diagnostic tests to pinpoint the cause of your azoospermia. Together · we will decide on the most appropriate sperm retrieval procedure and coordinate with your fertility plan.

We recommend arriving in Bangkok at least 1-2 days before your scheduled procedure for pre-operative assessments. Post-procedure · you should plan to stay for approximately 5-7 days to allow for initial recovery and follow-up. We can facilitate remote follow-up via WhatsApp for any concerns once you return home. Most patients are cleared to fly internationally about 5-7 days after the procedure · depending on individual recovery.