TESE / Micro-TESE Treatment in Chennai for UAE

TESE / Micro-TESE Treatment in Chennai for UAE Patients | Cost, Hospitals

For many patients in the UAE facing male infertility due to sperm production issues, the journey to parenthood can feel challenging. The thought of needing advanced procedures like TESE or Micro-TESE often brings concerns about access to specialized care, treatment quality, and overall costs.

This is why a growing number of individuals are exploring options beyond their home country. Chennai, with its established medical infrastructure and focus on international patient care, has emerged as a preferred destination for those seeking fertility treatments that are both effective and accessible.

Chennai’s hospitals are equipped with modern facilities and staffed by highly skilled urologists and reproductive endocrinologists who specialize in intricate procedures like TESE and Micro-TESE. Patients can expect a coordinated care environment, ensuring comprehensive support from initial consultation through recovery and follow-up, all within the city.

Chennai offers a focused and reliable medical pathway for TESE and Micro-TESE treatments.

What is TESE / Micro-TESE Treatment?

Testicular Sperm Extraction (TESE) and Micro-TESE (Microdissection TESE) are advanced surgical procedures used to retrieve sperm directly from the testicles. These techniques are crucial for men with non-obstructive azoospermia (NOA), a condition where no sperm is present in the ejaculate due to impaired sperm production. TESE involves taking small tissue samples from the testicle, while Micro-TESE uses a high-powered operating microscope to carefully identify and remove seminiferous tubules that are more likely to contain sperm, thereby minimizing tissue damage and improving sperm retrieval rates. The retrieved sperm can then be used for in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) to achieve pregnancy.

Types of Testicular Sperm Extraction

When is TESE / Micro-TESE Required?

• Non-obstructive azoospermia (NOA) where the body does not produce enough sperm, or sperm production is impaired.
• Failed previous sperm retrieval attempts using less invasive methods.
• Severe male factor infertility cases where no sperm is found in the ejaculate after various diagnostic tests.
• Genetic conditions that affect sperm production, such as Klinefelter syndrome or Y-chromosome microdeletions.
• Prior medical treatments or conditions that have severely impacted sperm production.
• As part of an IVF/ICSI cycle when ejaculated sperm is not available.

Pre-Treatment Evaluation for TESE / Micro-TESE

• Detailed medical history and physical examination to assess overall health and fertility status.
• Hormonal blood tests including FSH, LH, testosterone, and prolactin to evaluate endocrine function.
• Genetic testing, such as karyotyping and Y-chromosome microdeletion analysis, to identify underlying genetic causes of azoospermia.
• Semen analysis repeated multiple times to confirm the absence of sperm (azoospermia).
• Scrotal ultrasound to visualize testicular anatomy and identify any abnormalities.
• Consultation with a urologist specializing in male infertility and a reproductive endocrinologist.

How the TESE / Micro-TESE Procedure is Performed

The precise method for sperm retrieval depends on the patient's specific condition and the surgeon's recommendation.

Recovery Process After TESE / Micro-TESE

After TESE or Micro-TESE, patients typically experience some mild discomfort, swelling, or bruising in the scrotal area. Pain medication will be prescribed to manage this. It is important to avoid strenuous activities, heavy lifting, and sexual intercourse for at least one to two weeks to allow for proper healing. A scrotal support can help reduce swelling and provide comfort. Patients are usually discharged on the same day or the day after the procedure. Follow-up appointments will monitor healing and discuss the results of sperm retrieval, including cryopreservation if successful. Full recovery usually takes a few weeks, with most men able to resume normal activities within this period.

Risks and Success Rates of TESE / Micro-TESE

• Early Risks: Post-operative pain, swelling, bruising, and minor bleeding at the incision site.
• Infection: Though rare, infection of the surgical site or testicle is a potential complication.
• Hematoma: Collection of blood within the scrotum, which may require drainage in some cases.
• Testicular Damage: Minimal risk of damage to testicular tissue, particularly with Micro-TESE, which aims to preserve as much tissue as possible.
• Hormonal Imbalance: Very rarely, the procedure may slightly impact testosterone production, especially with repeated procedures or extensive tissue removal.
• No Sperm Retrieval: The primary risk is the possibility of not finding viable sperm, even with advanced techniques.

The success rates for sperm retrieval vary depending on the underlying cause of azoospermia and the type of procedure performed. For Micro-TESE, retrieval rates can range from 40% to 60% or even higher in carefully selected cases of non-obstructive azoospermia. Factors like the patient's genetic profile, hormonal levels, and previous testicular biopsies can influence the outcome. Even when sperm are retrieved, the subsequent success of IVF/ICSI depends on many other factors, including the quality of the eggs and the overall health of the couple. Patients should have realistic expectations and discuss their specific prognosis with their fertility specialist.

Cost of TESE / Micro-TESE Treatment in Chennai

The cost of TESE or Micro-TESE in Chennai can vary significantly based on several factors. These include the choice of hospital, the experience and reputation of the fertility specialist, the type of procedure (conventional TESE versus Micro-TESE), the need for additional diagnostic tests, and whether the retrieved sperm will be used immediately or cryopreserved. The overall package may also include anesthesia fees, operating theatre charges, and post-operative care.

Generally, the cost for TESE / Micro-TESE in Chennai ranges from approximately INR 1,50,000 to INR 3,50,000.

Comprehensive Support for Your Treatment Journey in Chennai

• Dedicated patient coordinator to assist with all aspects of your medical trip, from initial inquiry to post-treatment follow-up.
• Assistance with appointment scheduling, visa applications, and travel arrangements.
• Language interpretation services to ensure clear communication with medical staff.
• Accommodation recommendations and local transport guidance for convenience during your stay.
• Guidance on financial aspects and transparent billing for all medical procedures.

Key Documents Required for Your Medical Visit to Chennai

• Valid passport and medical visa for India (assistance can be provided for visa application).
• All relevant medical records, including previous fertility tests, hormonal reports, and any prior treatment summaries.
• Semen analysis reports and genetic test results (if available).
• Identification for your accompanying family member or partner, if applicable.
• A list of current medications and allergies.

Preparing for Your TESE / Micro-TESE Procedure in Chennai

• Follow all instructions regarding diet and fasting before the procedure, typically from midnight the day before.
• Arrange for someone to accompany you to the hospital and help with post-procedure transport.
• Inform your medical team about any medications, supplements, or herbal remedies you are currently taking.
• Ensure you have comfortable, loose-fitting clothing for your hospital stay and recovery.
• Complete any required pre-operative blood tests or medical clearances as advised by your doctor in Chennai.

Aftercare and Recovery Instructions for TESE / Micro-TESE

• Strictly adhere to prescribed pain medication and antibiotic schedules.
• Apply ice packs to the scrotal area as recommended to reduce swelling and discomfort.
• Wear supportive underwear or a scrotal support for the recommended period.
• Avoid heavy lifting, strenuous exercise, and sexual activity for at least 1-2 weeks or as advised by your surgeon.
• Attend all scheduled follow-up appointments to monitor your healing and discuss sperm retrieval results.
• Report any signs of infection, excessive pain, or unusual swelling to your medical team immediately.

Taking Your Next Step Towards Building Your Family

Choosing Chennai for TESE or Micro-TESE offers UAE patients access to advanced medical care with a focus on successful outcomes.