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Male infertility can be caused by a condition known as non-obstructive azoospermia or by obstructive azoospermia. Non-obstructive azoospermia is a state where there are no sperms in the ejaculate due to reduced sperm production whereas obstructive azoospermia is a condition where there is normal sperm production but the passage of sperms is blocked by the obstruction in Epididymis, Vas deferens or Ejaculatory duct. TESE centres in Wroclaw are able to treat these conditions by extracting sperm cells directly from the testicles. The treatment is performed efficiently with a team of doctors, counselors and infertility specialists who diagnose and analyze sperm concentration and health. If the sperm count and concentration are low in ejaculation, the andrologists may perform Testicular Sperm Extraction (TESE). TESE Centres in Wroclaw are able to provide the best services and perform the extraction of the healthiest sperms cells to help male infertility patients successfully conceive a child.
TESE is a method of surgically removing the sperms from men suffering from Non-Obstructive Azoospermia (NOA) or low sperm count. A surgeon performs a surgery on the testicles to locate seminiferous tubules structures where sperm is produced. In micro-TESE, the same method is followed under an operating microscope. In this procedure, a small part of the testicle tissue is removed from the area of active sperm production using advanced instruments and high-grade microscope. This maximizes the yield of spermatozoa while minimizing the amount of testicular tissue required and reducing vascular injury. TESE centres in Wroclaw practice this procedure using advanced devices to ensure the best semen sample is collected.
During the procedure, a surgeon makes a very small incision of about three to four centimeters in the midline of the scrotum. The patient is kept under general anesthesia while the surgeon opens the testicle through an incision and look under a high power-operating microscope for seminiferous tubules that could be swollen and have sperms. An andrologist is also present in the operating room who analyzes seminiferous tubules for sperm.
The next step is to take tissue samples from one side of seminiferous tubules. Sometimes, the procedure is also repeated on the other seminiferous tubules to ensure high-quality sample. These tubules are then processed in the laboratory and checked for the presence of sperms, which are either used immediately in the following treatment to fertilize eggs or are frozen for later use. In case of excessive bleeding, the bleeding is first stopped and the testis is closed with fine stitching.
All the layers of tissues in the scrotum are closed and left to heal. In TESE centres in Wroclaw, the opening is stitched with a thread that dissolves on its own so there is little or no scarring. In order to determine the presence of sperms in the tissue sample, an embryologist takes the sample and examines it under a microscope.
In TESE centres in Wroclaw, the treatment is recommended to male infertility patients who have a low sperm count or no sperm in the ejaculate. Low sperm count during ejaculation may be due to several reasons:
If there are no findings in the genetics of the patient a test is performed to determine to examine the hormonal situation. The strategy of the surgical tissue sampling is based on the medical history and current hormonal situation. Follicle-Stimulating Hormone (FSH), secreted from the pituitary gland, and inhibin B, produced in the testicles, are particularly important to find out sperm production. If the levels of both hormones are within the normal range, tissue samples can be taken from the testicle. However, if there are deviations or imbalance in the hormones, several biopsies are performed, before the TESE procedure.
TESE is a treatment that has very high odds of success as viable sperm cells are obtained in about 75 percent of cases. However, the likelihood of success is mostly determined by the cause of infertility and the lack of sperms in the ejaculate. Various examinations are performed on the patient allowing the doctors to predict the odds of success for TESE.
In TESE treatment centres in Wroclaw, patients are required to consult a urologist or andrologist who specialize in male infertility. A consultant examines and conducts appropriate tests, such as hormone analysis, chromosome analyses, and virology screening. On mutual consent, the TESE treatment program is decided and surgery is conducted.
Before the surgery, the patient is required to take a bath and clean shave the operational area. The patient is also not allowed to eat or drink for six hours before the operation. The doctor suggests wearing loose trousers on the day of surgery as the pressure on the testicles can cause pain after the operation.
Things to remember on the day of the procedure:
Micro TESE is an effective method for sperm retrieval from men with non-obstructive azoospermia. In TESE centres in Wroclaw, the treatment begins with a dose of general anesthesia to put the patient to sleep during the procedure. The surgeon performs microdissection of testicular tubules to identify sperm containing areas before removal. This involves direct examination of individual seminiferous tubules. In TESE centres in Wroclaw, the ability to find spermatozoa is considerably high after the introduction of the microTESE technique. The procedure is more effective and improves the chances of retrieving healthy sperms. The treatment either is done as a scheduled procedure or is coordinated with their female partner’s egg retrieval.
Here are some of the reasons to choose TESE Centres in Wroclaw:
After the procedure is complete and the sperms are retrieved, one must follow these instructions for better health and recovery.
The treatment may lead to infections in the scrotum therefore proper care is needed.
TESE surgery is generally performed during the day and the patient is allowed to go home on the same day of the operation. In some cases, TESE procedure is performed on the day of the egg retrieval and the fresh sample is used for ICSI. Most of the times, the suitable sperms are frozen and stored for use during IVF or ICSI.
The tissue samples retrieved using TESE treatment, are immediately prepared, processed and examined by the andrologists. If viable sperm cells are found, they are generally cryopreserved for treatments in the future. The sperms obtained from TESE procedure are low and incapable of fertilizing the eggs with IUI (Intrauterine Insemination) or regular IVF treatments; therefore the women’s oocytes are usually fertilized using an Intracytoplasmic Sperm Injection (ICSI).
TESE treatment is a painless procedure performed under general anesthesia; therefore, the patient does not need to worry about it. However, after the procedure, the patient might feel some discomfort. The incision can take about a week to heal so taking precautions as recommended by the doctor is necessary.
The ability to find spermatozoa in sperm tissues tremendously increases from 45 to 63 percent after introduction of the micro incision technique. In an average male with non-obstructive azoospermia, only 64,000 spermatozoa are found in standard biopsy whereas microdissected samples yield an average of 160,000 spermatozoa, which has more potential of fertilizing an egg.
TESE centres in Wroclaw are reliable and efficient in every case of infertility. The chances of finding viable sperms with TESE are better than 60 percent in Wroclaw. Various tests on the patient are conducted such as hormone analyses and genetic tests prior to the procedure, which allows predicting the odds of success for the TESE as well as a pregnancy.
After TESE, patients usually go for IVF or ICSI treatment for higher chances of fertilization and ultimately pregnancy.
It depends on the tests and medications required during the procedure. Also, TESE treatment is not a final solution for infertility as a number of treatments such as IVF and ICSI must be performed following the treatment. TESE also requires freezing of semen samples in case the fresh sample fails to fertilize the eggs. This requires additional cost that adds on to the TESE treatment fees. The cost of Micro-TESE is more than regular TESE as it involves the use of high-powered microscope during the treatment.
Infertility patients face no problem in finding TESE centres in Wroclaw but finding the best TESE centre can be difficult due to the competitive market. There are many consultancies and healthcare agencies that promise to provide the best hospitals but fail to provide satisfactory recommendations. At ovohealth, patients can find the best TESE hospitals and doctors in Wroclaw from a pre-defined list of reliable centres. We are associated with certified doctors, which are reliable in their service and treatment. We recommend TESE centres in Wroclaw, which are affiliated under various medical standards and have huge experience in the treatment of infertility patients.
Moreover, OVO Health also provides consultancy services and guides patients through the course of the treatment. Zero percent EMI medical loans are also provided to patients with a poor financial background. We also maintain a digital record of all treatment and tests conducted on our patients for future reference.
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