Microdissection TESE (Testicular Sperm Extraction)

Contact us through our website or email. Get a free video call with Dr. Nezih Durmazlar who will discuss with you all the available options, success rates, preliminary treatment plans, and full pricing. The conversation will last according to patients' history and needs, which may last at least one hour.

The Day Before Your Procedure

Instructions for eating and drinking before your surgery

• 12 ounces of water
• Do not eat anything after midnight the night before your surgery. This includes hard candy and gum.
• Between midnight and up until 2 hours before your scheduled arrival time, you may drink a total of 12 ounces of water.
• Starting 2 hours before your scheduled arrival time, do not eat or drink anything. This includes water.
• Your doctor may give you more instructions for eating and drinking before your procedure.

The Day of Your Procedure

• Take your medications the morning of your procedure as instructed by your doctor. Take them with a few sips of water.
• Don’t put on any lotions, creams, powders, deodorant, makeup, or cologne.
• Remove any jewelry, including body piercings.
• Leave all valuables, such as credit cards and jewelry, at home.
• If you wear contact lenses, if possible, wear your glasses instead. If you don’t have glasses please bring a case for your contacts.

What to bring with you

• A list of the medications you take at home, including patches and creams.
• Medications for breathing problems (such as inhalers), medications for chest pain, or both.
• A case for your glasses or contacts.

What to expect
Once you arrive at the hospital, doctors, nurses, and other staff members will ask you to state and spell your name and date of birth many times. This is for your safety. People with the same or similar names may be having procedures on the same day.

You will get general anesthesia (medication to make you sleepy) to put you to sleep during the procedure. Your doctor will make a very small incision (surgical cut) in your scrotum (the pouch of skin holding your testes). They will examine your testes using a tiny microscope and remove small pieces of tissue from your testes. Then, your doctor will close the incision with sutures (stitches).

You will have a bandage (mummy wrap) around your scrotum and scrotal support to hold the dressing in place.

After Your Procedure

You will recover in the Post Anesthesia Care Unit (PACU). When you wake up, you will be discharged home or brought back to your hospital room, if you’re in the hospital for other reasons.

At home
You may have mild pain and tenderness in your scrotum for a few days. You will get a prescription for pain medication. Take it as directed by your doctor.

You may also have mild bruising (a “black and blue” appearance) on your scrotum. Your penis and scrotum may be swollen. This is normal and should go away over the next week.

Activity

• You can shower 3 days after your procedure. Don’t soak in a pool, bathtub, or hot tub for 2 weeks after your procedure.
• You can resume your normal activity 3 days after your procedure. If you develop new pain, or your pain gets worse, as you do more activities, limit your activity until your pain gets better.
• Don’t drive while you’re taking pain medication. The pain medication can make you drowsy.
• Don’t lift any objects heavier than 10 pounds (4.5 kilograms) for at least 2 weeks after your procedure.
• You can resume sexual activity 1 week after your procedure.

Call us if You Have:

• A temperature of 101°F (38.3°C) or higher
• Pain that doesn’t go away with pain medication chills
• Swelling in your scrotum or penis that’s getting worse
• Drainage or pus coming from your incision

* On the same day, the extract will be explored for any viable sperm and will be frozen.