TESE / Micro-TESE Treatment in Mumbai for Bangladesh

TESE / Micro-TESE in Mumbai for Bangladesh Patients | Cost & Hospitals

For many patients from Bangladesh facing male infertility challenges, exploring specialized treatments like TESE or Micro-TESE can bring hope. The search often involves concerns about finding expert care, understanding complex procedures, and managing the overall cost and logistics.

Mumbai has emerged as a preferred destination for international patients seeking advanced fertility solutions. Its reputation for world-class medical infrastructure and a coordinated care environment helps ease the decision-making process for those looking beyond their home country.

The city hosts numerous accredited hospitals and highly skilled fertility specialists known for their expertise in microsurgical techniques. This concentration of medical talent ensures patients receive comprehensive evaluations and precise surgical interventions within a supportive ecosystem.

Mumbai provides accessible and advanced options for TESE and Micro-TESE treatment.

What is TESE / Micro-TESE?

TESE (Testicular Sperm Extraction) and Micro-TESE (Microsurgical Testicular Sperm Extraction) are advanced surgical procedures used to retrieve sperm directly from the testes. These techniques are primarily performed for men diagnosed with non-obstructive azoospermia, a condition where no sperm is present in the ejaculate due to issues with sperm production, not a blockage. The retrieved sperm can then be used in assisted reproductive technologies like ICSI (Intracytoplasmic Sperm Injection) to achieve pregnancy. These procedures offer a chance for biological fatherhood to men who otherwise would not be able to conceive.

Types of TESE / Micro-TESE Procedures

When is TESE / Micro-TESE Required?

• Non-obstructive Azoospermia: The primary indication where the testicles produce little or no sperm.
• Failed prior conventional TESE: Patients who did not retrieve sperm during a previous TESE attempt may benefit from Micro-TESE.
• Genetic conditions: Cases like Klinefelter syndrome or Y-chromosome microdeletions, which can lead to impaired sperm production.
• Hormonal imbalances: When hormonal treatments have not restored sperm production in azoospermic men.
• Testicular injury or infection: Past damage to the testicles that has resulted in severely impaired sperm production.

Pre-Treatment Evaluation

• Comprehensive Medical History: Review of past health conditions, surgeries, and medications.
• Physical Examination: To assess general health and specifically examine the reproductive organs.
• Hormone Profile: Blood tests to check levels of FSH, LH, testosterone, and prolactin.
• Semen Analysis: Multiple analyses to confirm azoospermia.
• Genetic Testing: Karyotyping and Y-chromosome microdeletion analysis to identify genetic causes of infertility.
• Scrotal Ultrasound: Imaging to evaluate testicular size, structure, and rule out other abnormalities.
• Testicular Biopsy: In some cases, a diagnostic biopsy may be performed prior to a full retrieval procedure.

How the Treatment is Performed

The procedure for TESE or Micro-TESE depends on the specific diagnosis and the surgeon's chosen technique.

Recovery Process

After TESE or Micro-TESE, patients typically experience mild pain and swelling in the scrotal area, which can be managed with prescribed pain medication. A scrotal support can help reduce discomfort. It is advisable to avoid strenuous activities, heavy lifting, and sexual intercourse for a few weeks to ensure proper healing. Most patients can return to light activities within a few days. Follow-up appointments are crucial to monitor recovery and discuss the findings from the sperm retrieval, including whether sperm were successfully found and cryopreserved. Detailed post-operative instructions will be provided by the medical team.

Risks and Success Rates

• Infection: As with any surgical procedure, there is a risk of infection at the incision site.
• Bleeding: Minor bleeding or hematoma formation within the scrotum can occur.
• Pain and Swelling: Post-operative discomfort, though usually manageable with medication.
• Testicular Damage: While minimized with Micro-TESE, there's a slight risk of damage to testicular tissue or blood supply.
• Hormonal Changes: Rarely, TESE can temporarily affect testosterone production, which is usually transient.
• No Sperm Retrieval: Despite the best efforts, there is a possibility that no viable sperm may be found.

The success rates for sperm retrieval vary significantly based on the cause of azoospermia and the patient's specific condition. For Micro-TESE, retrieval rates generally range from 40% to 60%, and in some specialized centers, can be higher. When sperm are successfully retrieved, the chances of achieving pregnancy via ICSI depend on the quality of the sperm and the female partner's fertility factors. Long-term expectations involve continuous monitoring of hormonal levels if issues arise, and understanding that subsequent attempts might be considered if initial retrieval is unsuccessful.

Cost of TESE / Micro-TESE in Mumbai

The cost of TESE or Micro-TESE in Mumbai can vary based on several factors, including the chosen hospital, the experience of the specialist surgeon, the specific technique used (TESE vs. Micro-TESE), the need for additional diagnostic tests, and the duration of hospital stay. Pre-operative evaluations and post-operative care also contribute to the overall expenditure.

The typical cost range for TESE / Micro-TESE in Mumbai generally falls between INR 1,50,000 and INR 3,00,000.

Comprehensive Support for Your Treatment Journey

• Initial Consultation and Opinion: Facilitating remote consultations with Mumbai's top fertility specialists.
• Travel and Visa Assistance: Guidance and support for obtaining medical visas and travel arrangements.
• Accommodation Services: Help with booking suitable lodging near hospitals, catering to various budgets.
• Language Interpretation: Availability of interpreters to ensure clear communication between patients and medical staff.
• Hospital Admission Support: Streamlined processes for hospital registration and pre-treatment formalities.
• Post-Treatment Follow-up: Coordination of recovery care and virtual follow-up appointments after returning home.

Essential Documents for Your Medical Visit

• Valid Passport and Visa: For both the patient and accompanying attendant.
• Medical Reports: All relevant diagnostic test results, previous treatment records, and referral letters.
• Proof of Funds: Documentation demonstrating financial capability to cover treatment costs.
• Appointment Confirmation: Hospital appointment letters or communication.
• Travel Insurance: Recommended for unexpected medical emergencies or travel disruptions.

Preparing for Your Procedure in Mumbai

• Medical Consultations: Complete all necessary pre-operative tests and discussions with your medical team.
• Medication Review: Discuss all current medications with your doctor; some might need to be stopped before surgery.
• Lifestyle Adjustments: Follow any specific dietary or activity restrictions advised by your specialist.
• Travel Planning: Confirm flights, accommodation, and ground transportation well in advance.
• Financial Arrangements: Ensure all payment processes are understood and settled.

Recovery and Follow-Up Care After Treatment

• Rest and Recuperation: Allow adequate time for healing, typically a few days of reduced activity.
• Pain Management: Take prescribed pain relievers as directed to manage post-operative discomfort.
• Incision Care: Keep the surgical site clean and dry, following all wound care instructions.
• Activity Restrictions: Avoid strenuous exercise, heavy lifting, and sexual activity for the recommended period.
• Follow-up Appointments: Attend scheduled post-operative checks with your surgeon to monitor recovery.
• Report Symptoms: Contact your medical team immediately if you notice any unusual swelling, severe pain, or signs of infection.

Take Your Next Step Toward Better Health

Considering TESE or Micro-TESE in Mumbai can be a significant step in your fertility journey. The city offers advanced care with an emphasis on patient well-being and successful outcomes.