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Micro-TESA: A Comprehensive Guide

What is Micro-TESA?

Microsurgical Testicular Sperm Extraction (Micro-TESA) is a surgical procedure designed to retrieve spermatozoa directly from the testis of men with no spermatozoa in their ejaculate (azoospermia). Micro-TESA is used specifically in cases where men have obstructive azoospermia, meaning the sperm production process is good. Still, a blockage in the reproductive tract prevents sperm from entering the ejaculate.

Micro-TESA is a minimally invasive surgical procedure commonly done under general anaesthesia. During the procedure, a tiny incision is made in the testes, and the tissue is examined under a microscope to identify the presence of sperm. If sperm are available, they are extracted and used in Intracytoplasmic Sperm Injection (ICSI) to facilitate fertilization.

Process of Micro-TESA

Here’s a step-by-step guide to the Microsurgical Testicular Sperm Extraction (Micro-TESA) procedure:

  • Initial Consultation

After scheduling an appointment with Dr. Supriya Puranik, you will meet with her for an initial consultation. During this meeting, Dr. Puranik will discuss your medical history and perform a physical examination. She will also discuss the indications and implications of Micro-TESA and answer any questions about the procedure. If Micro-TESA is a suitable treatment for you, she will schedule the procedure accordingly.

  • Anaesthesia

General anaesthesia is administered to ensure the patient’s comfort and minimize pain during the procedure.

  • Making an Incision

A small incision is made in the testicle to access the testicular tissues.

  • Microscopic Examination

Once the incision is made, Dr. Puranik examines the testicular tissue under a microscope to identify sperm. If sperm are present, they are carefully extracted using specialized microsurgical instruments.

  • Closure

After the procedure, the incision is closed using absorbable sutures, and the area is covered with a sterile dressing.

  • Post-operative Care

Following the procedure, patients are advised to rest for several hours.

Benefits of Micro-TESA

Here are some of the benefits of Microsurgical Testicular Sperm Extraction (Micro-TESA):

  • Improved Chances of Pregnancy: Micro-TESA offers a solution to men with azoospermia who cannot produce sperm through ejaculation. During the procedure, the surgeon can locate and retrieve viable sperm directly from the testis for assisted reproduction. This increases the chances of fertilization, embryo development and implantation, and ultimately, a successful pregnancy.


  • Minimally Invasive Procedure: Micro-TESA is a minimally invasive procedure that reduces the risks associated with more invasive surgeries. It is performed under local anaesthesia, and a small incision is made in the testis to extract sperm. The procedure has a low risk of complications and is typically associated with a short recovery time.


  • Same-Day Procedure: Micro-TESA is a quick and simple procedure that can be done. Patients usually return home on the same day and, by following post-operative instructions, can return to work in a few days.


  • Cost-Effective: Micro-TESA is a cost-effective alternative to sperm donation. By utilizing viable sperm extracted from the testis, patients avoid the ongoing expenses of purchasing donor sperm. Additionally, the use of one’s own sperm allows families to conceive with a biological connection.
Get in Touch:

Dr. Supriya Puranik, a renowned IVF specialist in Pune, India, provides skilled and compassionate Micro-TESA treatment to help couples achieve their dream of parenthood. To explore the benefits of Micro-TESA and learn more about alternative fertility treatments, please schedule a consultation with Dr. Puranik today.

Dr. Supriya Puranik offers specialized and customized Micro-TESA treatment to suit individual patient needs. She’s committed to providing compassionate and personalized care to every patient, ensuring they receive the best care throughout their fertility journey.

If you want to explore the benefits of Micro-TESA and other alternative fertility treatment options, schedule a consultation with Dr. Puranik to discuss your options.

About Doctor


Dr. Supriya Puranik

Gynaecologist & IVF Specialist

Often known as the last glimmer of hope for people who have lost all hope for conceiving a child, Dr. Supriya Puranik is a leading gynaecologist, high-risk obstetrician and Head of IVF & Gynaecology department at Ankura Hospital, Pune

Patient Reviews

Patient Reviews & Feedback

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  • Om Kadel

She is excellent. And as a goddess for my family. After long time I m blessed with twins baby due to her efforts only. She used to boost me with lots of positive thoughts whenever I lost the hope. You are too supportive mam. Thanks a lot.

Even the hospital staff, Nurses, mousis,house keeping staffs are at your step when ever needed when I was admitted.

The food provided is well planned according to the diet of patients by mam. Thank you very much mam for this turn over in my life after 12 years of marriage.

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  • Ashwini Sonawane

Dr. Supriya Puranik’s mam is very sweet person I have ever met. She is very caring, her ever smiling face always gives you positive wives. Staff is also very helpful and care taking during delivery, the best hospitality service I would say…
Thank you so much Dr Puranik Mam and Team. keep up the good work


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