Indication
In this method, sperm is extracted directly from testes tissue when sperm can not be found in the ejaculate (Azoospermia). If necessary, the testicular puncture will be performed as a part of ICSI treatment.
If there is no sperm in the ejaculate, it is possible to extract viable sperm using the MESA or TESE methods. Since only a small quantity of sperm can be extracted in either method, these procedures are performed exclusively in conjunction with ICSI.