In the absence of sperm in the semen we can take a biopsy of the testical to get the better results in fertility and IVF, so it is one of the solutions which infertility specialist use to treat delayed reproduction.
What is the testicular biopsy ?
Testicular Biopsy is the procedure in which a testicular tissue sample is obtained to be studied closely under a microscope, and this procedure can be done for the purpose of assessing sperm inside the testicle or for sperm to be manually injected into the egg in cases of severe sperm deficiency causing male infertility, a process known as microinjection, and testicular biopsy can be done when a strange castration mass is detected within the testicles or around it by using the ultrasound, at which point the biopsy can determine the nature of the detected mass and how to treat it, often using a needle, and may be done through open surgical biopsy in some cases.
Uses of testicular biopsy
helps a lot in diagnosing male infertility and investigating the cause of its occurrence, it is not the first step in the diagnosis or evaluation of infertility, where the doctor asks about the family and pathological story, as he requests some blood tests and semen tests to try to go towards the diagnosis before resorting to the testicular biopsy. A biopsy is performed to diagnose any improper event that occurs in a tissue of the body - for example - biopsy is used to diagnose tumors, to detect cancer, to diagnose infections or various autoimmune diseases.
Types of testicular biopsy
A needle is inserted through the skin in to the testicle then get a sample from tissue. This procedure does not require an incision, it’s also referred to as fine needle biopsy. The core needle biopsy is a variation of percutaneous biopsy, where aspiring loaded needle is used to draw out a cylinder of cells. This is called a core sample is a larger sample tissue compared to fine needle biopsy.
2-Open surgical biopsy
Your doctor starts by making a cut in a skin and obtaining a sample of testicular tissue and stitches are used to close the cuts.
Preparations before testicular biopsy
Preparations relate to the type of tissue to be taken from. In order to take a small specimen (e.g. a skin sample), a local anesthetic must be injected into the biopsy site. In order to perform a deeper sample test, it is often necessary to administer drugs with a comprehensive effect, in addition to pain killers.
Recovery from testicular biopsy
After completing the testicular biopsy, the husband is advised to place a bag of ice on the testicle from which the sperm was extracted, and need to keep bandages or gauze on the needle to protect the wound from sweat secretions and bacteria that may cause inflammation if they find their way inside. The husband can return to normal life and normal activities after one or two days of rest, as he must be committed not to engage in strenuous or double-effort activities that result in excessive sweating that may prolong the healing period. After sperm withdrawal, a masculinity and infertility specialist advices his patients to avoid activities such as cycling or motorcycling, riding, carrying weights for about two weeks and abstaining from intercourse for about one week. The success rates of sperm use in icing through needle suction are based on several factors, including the age of both spouses and the quality of the sperm itself.
Success of testicular biopsy
To succeed in taking a small sample of testicular tissue you need an experienced surgeon and a laboratory technician capable of finding sperm during the process of taking a small sample of the tissue of the testicle, the male lab examines the sample taken from the testicle and in the case of the presence of sperm is collected and frozen with the tissue of the testicle for ICSI/IVF future attempts.
Risks of a testicular biopsy
A testicular biopsy helps the doctor to resolve infertility problems. It does not cause an erection or fertility problems after the surgery. The suction of sperm from the testicle may include some problems and complications including
3- Severe pain or swelling of the scrotum.
4- Weakness in the testicle with the inability to treat it.
5- Low levels of the male hormone known as testosterone.
6-fever or chills.