Testicular Biopsy

Testicular Biopsy

Testicular biopsy is a simple surgery to remove a piece of tissue from the testicle/s and examine this tissue under a microscope.
The biopsy can be done in many ways. The type of biopsy you have depends on the reason for the test. At Sunrise, our experienced and highly trained andrologists will discuss with the patient their best suitable option.

In Open biopsy the skin over the testicle is cleaned with antiseptic and a local anesthetic is given to numb the area. Sedation or General Anesthesia can be given if the patient requests so.

A small surgical cut is made through the skin and a small piece of the testicle tissue is removed. The opening in the testicle is closed with a stich. Another stitch closes the cut in the skin. The procedure is repeated for the other testicle if necessary.

At Sunrise, we offer the latest technique for this procedure which is the micro TESA. This technique involves a surgical microscope that helps the surgeon to find the best part to extract (area with the highest probability for containing sperm)

In Needle biopsy the area is cleaned and local anesthesia is used, just as in the open biopsy. A sample of the testicle is taken using a special needle. The procedure does not require a cut in the skin.

Depending on the reason for the test, a needle biopsy may not be possible or recommended.

The procedure is most often done to find the cause of male infertility. It is done when a semen analysis suggests that there is abnormal sperm and other tests have not found the cause.

In some cases, sperm obtained from a testicular biopsy can be used for IVF/ICSI when no sperm is found in ejaculate or failure to produce a sample.

The tissue sample will be analyzed under a microscope.

The results may show normal sperm development. If a patient previously had a low or zero sperm count, an obstruction may be the cause of the infertility.

Blockages in the vas deferens have been shown to cause this type of infertility. The vas deferens is the tube that carries sperm from the testicles to the urethra. Surgery may be able to correct the problem.