Testicular Biopsy with ICSI (Intracytoplasmic sperm injection) enables to treat sperm-related infertility. The biopsy is done to evaluate the reason for male infertility. The reasons for testicular biopsy include adequate production of sperms in the male semen and hormonal test results. The biopsy is done by removing tissues from one or both the testicles and sending it to the laboratory for examination.
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ICSI + testicular biopsy allow treating male infertility. The procedure of testicular biopsy extracts a small tissue sample from the testes and is then examined in a laboratory to evaluate if the man can father a child.
The reasons of testicular biopsy is to determine the reasons of infertility in a man, inadequate production of sperm in the semen and varying hormonal test results. Testicular biopsy procedure allows your doctor to retrieve sperm from the man’s testes in the scrotum, which is located just below the penis, to use it for treating sperm-related infertility with ART (assisted reproductive technology).
With the aid of ICSI (Intracytoplasmic sperm injection) enabled ART process, it is possible to study a sperm accurately and inject it into a matured egg after 2-5 days of the biopsy. It can, therefore, be said that the purpose of ICSI assisted testicular biopsy is to get a healthy sperm for IVF-ICSI.
There are certain preparations before testicular biopsy that need to be followed:
During the procedure, you are taken to the hospital operating room or in the doctor’s office or to the surgery clinic. After you are readied, this is how testicular biopsy is performed in a few steps.
Step1: First, the doctor cleans the thin skin on your testicle with a sterile solution. While doing so, the doctor wears sterile gloves to minimize any possibilities of infections. The surrounding area around the testicle is covered with a sterile cloth while the procedure is carried out.
Step2: Local anaesthesia is administered into the scrotum to numb the area. A small incision is done on the skin and a pair of scissor is used to remove a small piece of testicular tissue.
Step3: After the testicular tissue is extracted, the doctor closes the testicular cut with a single stitch. A second stitch is done to close the cut in the skin. There is no need to cut the stitches since they get dissolved with time.
Step4: Doctors usually perform the procedure for both the testicles. Once done, the scrotal area is bandaged and you are given to wear a testicular supporter for many days after the testicular biopsy procedure. The supporter helps the cuts to gradually heal.
Step5: In case of general anaesthesia, the same steps are followed, except that you stay asleep through the entire procedure. It takes 15-20 minutes to perform the biopsy.
Testicular biopsy recovery time is brief, but you may feel pain and bruising in the scrotum area for 3-4 days after the procedure. It is normal to experience slight bleeding at the incision site, but there is nothing to worry about.
Generally, the patient is advised not to engage in any sexual activities for 1-2 weeks. Also, the area should be kept dry and not washed for several days to allow quick healing. Have prescribed medicines for soreness, but avoid aspirins for at least one week post the procedure.