MicroTESE


Micro-Dissection TESE (MicroTESE) is an invasive procedure utilized to locate sperm in men with Non-Obstructive Azoospermia or severe testicular failure. MicroTESE is especially helpful in these men as there may be very localized areas of sperm production that may be missed during blind biopsies or needle aspiration procedures. During a MicroTESE, the testes are surgically opened, tissue is inspected under a microscope and an intense search of every part of the testicle is performed to locate healthy areas that are more likely to contain sperm. After MicroTESE, the sperm may be used in a current IVF-ICSI cycle or frozen for later use. As MicroTESE is an extensive procedure, Fakih IVF Fertility Center has developed the  Simultaneous Staged Sperm Retrieval Procedure in order to provide men with an efficient method that provides the best chance of finding sperm. 

With centers in Abu Dhabi and Dubai and medical partners in Al Ain, Fakih IVF Fertility Center is available to help couples throughout the UAE and abroad.  Fakih IVF Fertility Center was the first center in the UAE to achieve pregnancies through the successful performance of MicroTESE.

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Simultaneous Staged Sperm Retrieval Procedure

As MicroTESE is an extensive procedure, Fakih IVF Fertility Center has developed the Simultaneous Staged Sperm Retrieval Procedure in order to provide men an efficient method that provides the best chance of finding sperm. The Simultaneous Staged Sperm Retrieval Procedure is preferably completed while the wife is undergoing an IVF cycle so that the sperm may be used right away. 

  1. Stage 1 - Advanced Testicular Mapping: The procedure begins with Advanced Testicular Mapping, a technique during which a fine needle is placed in different areas of the testes, aspirating small samples of testicular tissue that is immediately analyzed for viable sperm. If adequate numbers of viable sperm are found, the procedure is terminated and the man is spared the open surgical Micro-Dissection TESE (MicroTESE). 
  2. Stage 2 - MicroTESE: If no sperm is found in the aspirated samples, the surgeon immediately proceeds to perform a MicroTESE. Micro-Dissection TESE (MicroTESE) is an invasive procedure utilized to locate sperm in men with Non-Obstructive Azoospermia or severe testicular failure. During a MicroTESE, the testes are surgically opened, tissue is inspected under a microscope and an intense search of every part of the testicle is performed to locate healthy areas that are more likely to contain sperm.

Through Simultaneous Staged Sperm Retrieval, men get the highest chance of success with the least invasive method needed.


Fakih IVF Fertility Center's Urology department is led by Dr. Rupin Shah. With over 24 years of experience, Dr. Shah is an internationally recognized expert in the field of Male Infertility with specialty in Testicular Mapping Mapping, needle aspiration TESA and micro-dissection TESE procedures. To discuss your medical history with a Fakih IVF Fertility Center Urologist,  book an appointment or email our doctors today.