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Testicular biopsy (TESE) in Stuttgart

TESE (testicular sperm extraction) is a specialized method for extracting sperm directly from the testicles when no sperm can be detected in the ejaculate.

At the Bad Cannstatt Fertility Center, we combine this highly precise method with state-of-the-art laboratory technology and a sensitive care concept.

The sperm obtained is frozen and can be used at a later date for ICSI (intracytoplasmic sperm injection). A testicular biopsy is a minor surgical procedure performed in our operating room by our partners, the urologists at G2 Urology Fellbach, is carried out.

What is TESE?

In TESE, sperm is extracted directly from the testicular tissue. The sperm obtained is vitrified (frozen) so that it can be used for ICSI at a later date. This enables couples with limited sperm production to undergo effective fertility treatment—even if natural fertilization is not possible.

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The graphic shows the extraction of sperm during a testicular biopsy.

Image source: Merck Healthcare Germany GmbH

Who is TESE suitable for?

TESE is primarily recommended for:

  • Absence of sperm in the ejaculate (azoospermia)
  • severely restricted sperm production
  • genetic or hormonal causes that make natural fertilization difficult
  • previous unsuccessful attempts at sperm retrieval

 

Before the procedure, we will thoroughly examine your individual situation to ensure the best chances of success.

Your advantages with TESE

  • Sperm retrieval despite azoospermia or limited production
  • Minimally invasive, safe procedure
  • Freezing sperm for later ICSI – no repeated procedures necessary
  • Combination with modern fertility treatment
  • Individual, empathetic care from our experienced team

TESE treatment procedure

1. Preparation

  • Detailed consultation and explanation of the procedure, risks, and chances of success
  • Blood tests and hormone analyses
  • Coordination of the procedure

2. Minimally invasive procedure

  • A small sample of testicular tissue is taken under local anesthesia or light sedation.
  • The procedure is gentle, outpatient, and takes only a few minutes.

3. Preparation and freezing of sperm

  • The collected sperm is carefully processed in the laboratory.
  • Mobile, healthy sperm are selected and frozen (vitrified).
  • Freezing allows for later use in ICSI without having to perform the procedure again.

4. Later use for ICSI

  • Once the partner is ready, the frozen sperm will be used for ICSI.
  • Fertilization, embryo transfer, and further steps are performed according to the latest standards.

Why a TESE at the Fertility Center Bad Cannstatt?

TESE followed by cryopreservation opens up new opportunities for many couples to have the child they desire. We explain each step in detail, provide you with professional and empathetic support, and ensure that you feel safe and well cared for throughout the entire treatment.

Many years of experience in reproductive medicine

State-of-the-art laboratory technology and technical precision

Comprehensive support – medical and emotional

Häufige Fragen zur Hodenbiopsie

Eine Hodenbiopsie wird vor allem dann durchgeführt, wenn im Ejakulat keine Spermien nachweisbar sind (Azoospermie) oder die Spermienproduktion stark eingeschränkt ist. Häufige Ursachen sind genetische, hormonelle oder anatomische Faktoren. Für betroffene Patienten ist die Biopsie oft der einzige Weg, doch noch eigene Spermien zu gewinnen.

Bei der Hodenbiopsie wird in einem kleinen chirurgischen Eingriff Gewebe aus dem Hoden entnommen. Im Labor werden daraus die Spermien isoliert. Der Eingriff wird minimal-invasiv von erfahrenen Urologen durchgeführt und ist schonend für den Patienten.

Die aus dem Gewebe gewonnenen Spermien werden direkt vitrifiziert, also eingefroren. So stehen sie zu einem späteren Zeitpunkt für eine ICSI zur Verfügung – ohne dass der Eingriff am Hoden wiederholt werden muss.

Die Biopsie gilt als sicheres, etabliertes Verfahren mit geringem Risiko. Wie bei jedem kleinen Eingriff kann es zu vorübergehenden Beschwerden im Bereich des Hodens kommen. Vor der Behandlung prüfen wir Ihre individuelle Situation ausführlich.