Best MicroTese Treatment in Delhi NCR

Best MicroTese Treatment in Delhi NCR is done at Urethra and Penile Surgery. Here we will know all the details on Microtese Treatment and its effects.


MicroTESE Procedure for Male Infertility


Male infertility is one of the major conditions that affect men across the world. Particularly in middle-aged men, who want to have children, this could be a major cause of stress. Male infertility is not a single condition but an end result of multiple conditions. One particular condition is azoospermia, where men are unable to produce sperm. While many procedures exist to treat it, the most effective one by far is microTESE. Let’s take a closer look at microTESE and how it became one of the best diagnostic tools for azoospermia.


Understanding MicroTESE

Microscopic testicular sperm extraction is a surgical procedure involving the extraction of sperm directly from the testicles. The procedure is used for men who are unable to produce healthy sperm for reproduction. MicroTESE extracts sperm by making a small incision in the testes and extracting the testicular tissue. The testes are located within fleshy bags called scrotum and a pair of them exist just below the penis. Both of these testes include testicular tissue.


Male Infertility

Infertility is a condition when the reproductive system of the body becomes dysfunctional. In males, infertility is usually caused due to either of two organs: testicles and penis.

Azoospermia is a case of male infertility where the no sperm is released from the body. It is largely of two types. Non-obstructive azoospermia is when the body produces no sperm at all. Obstructive azoospermia is when sperm is produced, but an obstruction stops it from getting released.

Azoospermia is a very common cause of male infertility. Generally, preliminary tests are carried out to check the sperm count in the semen. This includes blood test and semen analysis. If these tests give no conclusive results, more advanced methods are employed. In case of non-obstructive azoospermia, microTESE treatment is used.


Testicular Biopsy

Testicular biopsy is a very common diagnosis method to find out issues surrounding the male reproductive and sexual health. The biopsy is usually preceded by a semen analysis. In most cases, semen analysis is enough to find basic information like sperm count and azoospermia. However, sometimes the analysis can return inconclusive results. In such cases, a testicular biopsy is suggested.

Testicular biopsy focuses on taking a sperm sample directly from the testicles. This could be done in two ways. Percutaneous biopsy inserts a very thin needle directly inside the testicle and extracts testicular tissue through a syringe. Surgical biopsy involves making a small incision on the testicle and then extracting testicular tissue through the opening.

Testicular biopsy is used to diagnose a wide variety of conditions. It could find cause of lumps or blockages in the testicles. It can extract sperms to be later used for In-Vitro Fertilization (IVF). In some cases, it can be used to confirm testicular cancer. Also, the biopsy is used when semen analysis is not enough to confirm conditions like azoospermia and male infertility.


Choosing MicroTESE

It is important to understand the scenarios in which microTESE could be used. Despite being safe and effective, it cannot work in all condition. Like in case of obstructive azoospermia, the blockage cannot be removed by microTESE treatment.

MicroTESE is preferred in cases of males who have sufficiently high level of testosterone in their body but are still unable to produce sperm due to some reason. Alternatively, males who have undergone prior treatment of azoospermia and have normal level of testosterone can also opt for this.


MicroTESE instead of Biopsy

While biopsy is a common procedure, it is not without its complications. Particularly in cases of non-obstructive azoospermia, biopsy is not very effective at sperm extraction. In fact, an open biopsy might even further complicate things.

MicroTESE is a more effective procedure to extract sperms, especially in the aforementioned scenario. It must be remembered that prior biopsies can reduce the chances of sperm extraction by a significant margin. While there is a 56 percent chance of finding sperm in patients with no prior biopsies, this drops to 26 percent in patients with 3 or more prior biopsies.


MicroTESE Procedure

The procedure of microTESE is as complicated and elaborate as any other major surgery. The patient is first given general anesthesia because the procedure requires complete stillness. The surgeon then makes a small incision, usually 3-4 cm in size, in the middle of the scrotum. Through this incision, the surgeon looks inside using a microscope. The aim is to find seminiferous tubules which have the highest probability of containing sperm.

If such tubule is found, the surgeon extracts a tissue sample from it. After this the incision is stitched shut and any bleeding is stopped. The body contains seminiferous tubules in both sides, so the procedure has also to be carried on both sides. This is done to determine if the cause is localized to one testis or is affecting both testes equally.

At the end of the surgery, all incisions made on the testicles are stitched layer-by-layer. The stitches dissolve on their own and in a few weeks no sign of the surgery would remain on the testicles.



MicroTESE is a very low-risk surgical procedure. The chances of the testicle getting damaged during the surgery are insignificant. The incision is made carefully and by layers, so no damage occurs. However, there are chances of side-effects arising due to the procedure. Patients undergoing microTESE have a risk of bleeding, infection and acute pain. Even these side-effects are extremely rare among patients.



The recovery from microTESE is really easy and quick. Testicles have an inherent fast healing factor due to their vital importance to the body. The carefully layered approach during surgery further minimizes any damage.

Immediately after the surgery, patients might feel discomfort but any pain is rare. It is recommended to use an ice pack on the testicles for the first 24 hours to avoid inflammation. Pain killers are optional and should be taken only if the ice pack is ineffective. For 10-14 days after the surgery, any vigorous activity involving the testicles is to be avoided. This includes sex, exercise and masturbation.

In a matter of weeks, the stitches dissolve and no scar is left behind. There is no long-term impact of microTESE. It is also safe to undergo multiple rounds of microTESE treatments, if there is sufficient recovery gap between them.


Alternative Method: TESE

Testicular Sperm Extraction (TESE) is similar to microTESE for the most part but with some crucial differences. While microTESE treatmentis applicable for men having non-obstructive azoospermia, TESE is used for men having obstructive azoospermia. Unlike microTESE treatment, which needs a full surgery, microTESE treatment requires a minor surgery that could be done in a clinic under local anesthesia. TESE also require a lot less tissue compared to microTESE.

In the microtese treatment procedure, first the testicle and surrounding skin is numbed using local anesthesia supplied via small needle. Then a minute cut is made on the testicle and sperm is extracted from it.


Final Thoughts

Male infertility is a serious condition that can cause great physical and emotional discomfort to those affected by it. However, the right procedures can go a long way in dealing and surviving it. Microtese  treatment is one such procedure. With microtese treatment, infertility in men could be accurately diagnosed and treated, and allow them to lead a happy life again.

For further information on Microtese treatment do consult:-

Dr Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316




A family in a town of Bulandshehar, India was excited, as the eldest son of the family became father of a boy. The mother and the child both were healthy hence happily discharged from the nursing home. The boy was named “Ansh” by his grandparents. Ansh had become the source of happiness in the family for every member.

Once, when Ansh was 6 months old, Ansh’s mother realized that his urinary opening is not at the tip of his penis, it was located beneath the usual opening. Therefore, she was worried a bit and discussed with Ansh’s father.

They reached to a conclusion to wait until Ansh is little older. The time elapsed and Ansh was now one year old, however he was healthy and used to act similarly what other kids of his age usually act but urinary problem was still present.


Now the parents were worried as the abnormal urinary opening was significantly noticed and Ansh was showing some signs like spraying of urine, hanging foreskin, slight bend of penis in downwards direction. They decided to consult the paediatrician/ child specialist in their town at the earliest.

The Paediatrician suggested them to wait for another 3 to 4 years and convinced them that this problem will go on its own around the age of 5 years. Now the parents had some sense of relief knowing that their son is doing normal.


Cut to another 4 years, now the child was almost 5 years old and his problem of spraying of urine, sagging of foreskin, bent in penis persisted. Now parents could not ignore his symptoms, they started exploring the best child specialist in their town. They found one who explained them about Ansh’s problem; he was diagnosed with Hypospadias and suggested to consult a Urologist with no delays as they had already wasted five years.

The whole family including parents of Ansh lost all hopes now as they were being misleaded and misguided in these six to seven years. Actually, they were guided rightly for the very first time in these long years.


Now the time was to consult a Urologist as suggested by the paediatrician. The Urologist provided them a sense of huge relief by educating them about the treatment possibilities in case of Hypospadias.

The Urologist in their town explained that Hypospadias is treated surgically; it is good to operate in initial years only, also he explained the importance of expertise in operating a case of hypospadias. He further explained that a Reconstructive urologist is the right expert to deal with Hypospadias.

The Urologist suggested them Dr.Gautam Banga’s name for Ansh’s case.


Dr.Gautam Banga is a renowned Reconstructive Urologist heading the centre of Urethra and Penile surgery (UPS) in Delhi.

He is excelled in Genito-urinary surgeries and has an excellent success rate in such cases especially Hypospadias and Urethroplasty. He has an experience of more than 15 years in Genito-urinary surgeries.

Ansh was eight years old when his father took him to Delhi to consult Dr.Gautam Banga. The father was immensely satisfied with Dr.Gautam’s approach in answering his all queries and doubts related to the treatment. Dr.Gautam Banga explained them the outcome, probable complications, and recovery of the surgery.


Surgery was done on the decided date. Dr.Gautam Banga has a good team of resident doctors and nurses for post- operative care, the patient was under their observation for two days in hospital.

He was discharged in a stable condition and with the instructions to come for a follow up after a week. Patient was made free from catheter after two weeks. Now after one month of surgery, Ansh is doing fine with his urine passage.

His parents are grateful to Dr.Gautam Banga for his wonderful efforts on their son for whom they had lost all their hopes.


We the team at UPS (centre of Urethra and Penile surgery) encourage parents not to be misguided or misleaded by multiple opinions ,we encourage you to self-diagnose it and if your child shows any sign of Hypospadias do not prolong consulting with the right doctor.

For further information on Hypospadias and its treatment do consult:-

Dr Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316