TESE / Micro-TESE Treatment in New Delhi for Bangladesh
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For many couples in Bangladesh facing male infertility, the journey to parenthood can feel challenging. When conventional methods are not enough, finding advanced solutions like TESE or Micro-TESE becomes a crucial consideration. Navigating these complex decisions, especially when looking abroad, often comes with questions about care quality and accessibility.
New Delhi has emerged as a preferred destination for specialized medical care, drawing patients from across the region. Its robust medical infrastructure, state-of-the-art fertility clinics, and concentration of highly skilled reproductive specialists offer a compelling choice for those seeking specific interventions like TESE/Micro-TESE. Patients find solace in the city's capacity to deliver intricate procedures with high precision.
Patients placing their trust in New Delhi's medical system benefit from a seamless care environment. The city's leading hospitals and fertility centers are well-versed in catering to international patients, ensuring coordinated appointments, clear communication, and support throughout their stay. This focused approach helps ensure a smoother experience from initial consultation to post-procedure follow-ups.
New Delhi provides a comprehensive and accessible option for advanced fertility treatments.
TESE (Testicular Sperm Extraction) and Micro-TESE (Microsurgical Testicular Sperm Extraction) are specialized surgical procedures designed to retrieve sperm directly from the testicles. These methods are primarily used for men diagnosed with azoospermia, a condition where no sperm are found in the ejaculate. TESE involves taking small tissue samples from the testicles, which are then examined for sperm. Micro-TESE, a more advanced technique, uses a high-powered operating microscope to precisely identify and extract sperm-producing tubules, minimizing damage to surrounding testicular tissue and enhancing the chances of successful sperm retrieval. Both procedures aim to obtain sperm for use in assisted reproductive technologies like ICSI (Intracytoplasmic Sperm Injection) as part of an IVF cycle.
Conventional TESE: This involves making small incisions in the testicle and extracting multiple random tissue samples. The samples are then processed to search for viable sperm. It is a more generalized approach to sperm retrieval.
Micro-TESE: Utilizing a surgical microscope, this technique allows the surgeon to visualize and select specific seminiferous tubules that appear most likely to contain sperm. This precision helps in retrieving sperm more effectively while reducing the amount of tissue removed and minimizing potential harm to the testicle.
TESA (Testicular Sperm Aspiration): A less invasive procedure where a needle is inserted into the testicle to aspirate fluid and tissue, which is then checked for sperm. It's often considered before TESE for certain cases.
PESA (Percutaneous Epididymal Sperm Aspiration): This method involves aspirating sperm from the epididymis, a coiled tube behind the testicle, using a needle. It is typically performed for obstructive azoospermia.
The specific procedure for TESE or Micro-TESE depends on the individual's condition and the specialist's recommended approach.
Patients receive instructions regarding fasting and medication adjustments. General anesthesia or local anesthesia with sedation is administered to ensure comfort during the surgery. The scrotal area is cleansed and draped in a sterile manner.
A small incision is made in the scrotum to access the testicle. Multiple small pieces of testicular tissue are carefully excised. These tissue samples are then immediately sent to the embryology lab, where specialists examine them under a microscope to identify and isolate sperm.
After the scrotal incision, an operating microscope is brought into position, providing highly magnified views of the testicular tubules. The surgeon meticulously searches for plump, opaque tubules that are more likely to contain sperm. Only these specific tubules are microsurgically removed. This targeted approach significantly increases the chance of finding sperm while minimizing the amount of tissue removed, thus preserving testicular function.
Once viable sperm are found, they are either used immediately for ICSI with the female partner's eggs or cryopreserved (frozen) for future use. The incision is then closed with sutures.
Recovery from TESE or Micro-TESE typically involves a few days of rest. Patients may experience mild pain, swelling, and bruising in the scrotal area, which can be managed with prescribed pain medication and cold compresses. It is advisable to avoid strenuous activities, heavy lifting, and sexual intercourse for about two to four weeks following the procedure to allow for proper healing. A follow-up appointment with the urologist is usually scheduled within a week to monitor recovery and discuss the sperm retrieval results. Adhering to all post-operative instructions is vital for an optimal healing process.
The success rate for sperm retrieval with TESE and Micro-TESE varies significantly based on the underlying cause of azoospermia, the patient's age, and the skill of the surgical team. Micro-TESE generally offers higher sperm retrieval rates, ranging from 40% to 60% or even higher in select cases of non-obstructive azoospermia, compared to conventional TESE. The ultimate success, leading to pregnancy, also depends on the quality of retrieved sperm, the female partner's fertility status, and the success of subsequent IVF/ICSI cycles. Long-term expectations should be discussed thoroughly with the fertility specialist.
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The cost of TESE or Micro-TESE in New Delhi is influenced by several factors, including the chosen hospital or fertility clinic, the specific type of procedure (TESE vs. Micro-TESE), the expertise of the surgeon, and any additional services required, such as anesthesia or pre-operative tests. New Delhi is known for offering advanced medical treatments at a fraction of the cost found in many Western countries, making it an attractive option for international patients.
Typically, the cost for TESE / Micro-TESE in New Delhi can range from INR 80,000 to INR 250,000.
Comparing the cost of TESE / Micro-TESE in New Delhi with other global medical hubs reveals significant savings without compromising on the quality of care or the technology utilized.
| Location | Estimated Cost Range |
|---|---|
| New Delhi, India | $1,000 - $3,000 |
| United States | $5,000 - $15,000 |
| United Kingdom | $6,000 - $12,000 |
| Singapore | $4,500 - $9,000 |
| Thailand | $3,000 - $7,000 |
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