Microdissection TESE (Micro-TESE) Treatment in Saudi Arabia

Micro-TESE – Advanced Sperm Retrieval for Non-Obstructive Azoospermia

For men struggling with non-obstructive azoospermia (NOA), the absence of sperm in the semen doesn’t always mean fatherhood is impossible. With Microdissection TESE (Micro-TESE), there’s new hope.

At VIVILITY, we perform advanced Micro-TESE procedures across Saudi Arabia—including Riyadh, Jeddah, Dammam, Mecca, Medina, and more—to help men with even the most challenging fertility conditions retrieve sperm successfully.

Book your consultation now and let our experts assess if Micro-TESE is your best path toward biological fatherhood.

What is Microdissection TESE (Micro-TESE)?

Micro-TESE stands for Microdissection Testicular Sperm Extraction—a highly specialized surgical procedure that uses a microscope to precisely locate and extract sperm-producing tubules from the testicles.

Unlike traditional TESE, Micro-TESE involves identifying small areas within the testes that may still produce sperm, even in men diagnosed with zero sperm production. This precision drastically improves the chances of retrieval in men with non-obstructive azoospermia.

To learn more about this advanced technique, schedule a consultation with our fertility microsurgery team in Jeddah, Dammam, or Medina.

Who Should Consider Micro-TESE in Saudi Arabia?

Micro-TESE is ideal for men with:

  • Non-obstructive azoospermia (NOA)
  • Failed sperm retrieval with conventional TESE or TESA
  • Maturation arrest or Sertoli cell-only syndrome
  • Extremely poor sperm production due to testicular failure
  • Unexplained male infertility with no sperm in semen despite normal hormonal levels

If you’ve been told you’ll need a sperm donor, Micro-TESE may still offer a chance to use your own genetic material.

Get a second opinion and detailed diagnostic plan at Vivility today.

How Micro-TESE Works – Step-by-Step

At VIVILITY, we ensure you understand every part of the Micro-TESE journey before you begin. Here’s how the procedure typically unfolds:

  1. General anesthesia is administered for complete comfort
  2. A small scrotal incision is made to access the testicle
  3. Using a surgical microscope, the surgeon carefully examines seminiferous tubules to locate sperm-producing tissue
  4. Selected tissue is extracted and immediately analyzed in our lab for viable sperm
  5. Retrieved sperm is used for ICSI or cryopreserved for future IVF cycles
  6. The procedure is completed as an outpatient surgery, with most patients going home the same day

Book your Micro-TESE evaluation today and receive a personalized surgical plan.

Micro-TESE vs. Conventional TESE – What’s the Difference?

While both procedures are used to retrieve sperm from the testicles, Micro-TESE offers several clear advantages—especially for men with complex fertility challenges.

Feature

Conventional TESE

Micro-TESE

Visual Guidance

None

Microscope-guided

Tissue Damage

Higher

Minimal

Sperm Retrieval Rate

Moderate

Higher in NOA

Recovery Time

3–5 days

2–3 days

Hormonal Disruption

More likely

Less likely

In short, Micro-TESE is more precise, less invasive, and offers significantly better success rates in challenging cases.

Speak with our surgical team in to determine the best approach for your diagnosis.

Micro-TESE and ICSI – A Combined Fertility Strategy

The sperm retrieved through Micro-TESE is typically used in ICSI (Intracytoplasmic Sperm Injection)—a powerful assisted reproductive technique where a single sperm is injected into an egg.

Here’s how Micro-TESE and ICSI work together:

  • Micro-TESE is scheduled before or on the same day as the egg retrieval
  • Sperm is freshly processed or thawed from previous retrievals
  • ICSI is performed using the retrieved sperm, maximizing fertilization chances
  • The resulting embryos are cultured and transferred into the uterus for implantation

Micro-TESE with ICSI is often the most effective fertility path for men with NOA.

Explore IVF and ICSI options using Micro-TESE Today.

Micro-TESE Success Rates in Saudi Arabia

At VIVILITY, we’re proud to offer one of the highest Micro-TESE success rates in the region, thanks to our microsurgical expertise and in-house lab collaboration.

  • Sperm retrieval success: Up to 60–70% in properly selected NOA cases
  • ICSI fertilization success: Over 70% with Micro-TESE sperm
  • Embryo development and pregnancy rates: Comparable to other ART cases when combined with high-quality egg and embryo care
  • Success is influenced by:
    • FSH levels
    • Testicular size
    • Age and overall health
    • Histology (biopsy) findings

To assess your chances and prepare a fertility plan, schedule a Micro-TESE consultation in Riyadh, Khobar, or a nearby city today.

Why Choose VIVILITY for Micro-TESE in KSA?

VIVILITY is recognized across Saudi Arabia for leading-edge fertility surgery and compassionate patient care. Here’s what makes us your best choice for Micro-TESE:

  • Specialist microsurgeons in Riyadh, Jeddah, and Dammam

  • On-site high-resolution fertility labs and advanced equipment

  • Seamless coordination between surgery, diagnostics, and IVF teams

  • Post-surgical support for sperm analysis, cryopreservation, and treatment planning

  • A success-driven, emotionally supportive approach that puts patients first

Get a Consultation today and experience fertility care tailored to you.

Explore Your Best Chance to Conceive – Book a Micro-TESE Consultation at VIVILITY Saudi Arabia

If you’re facing non-obstructive azoospermia, don’t give up hope. Micro-TESE at VIVILITY offers a real possibility of retrieving sperm—sometimes when no one else can.

Book your consultation today in Riyadh, Jeddah, Dammam, Mecca, Medina, or your nearest city.

Let’s redefine what’s possible—together.

FAQs

No. The procedure is performed under general anesthesia.

Most men resume normal activity within 2 to 3 days.

Alternative strategies, including repeat attempts or donor options, will be discussed with compassion and clarity.

Yes. We offer onsite sperm freezing for use in future cycles.

Often within the same cycle, especially if sperm is used fresh. Frozen sperm offers flexibility for later use.

Yes, particularly in non-obstructive azoospermia, Micro-TESE has higher success rates and better tissue preservation.

Dr. Shlomi Barak is a male fertility specialist with extensive experience in Obstetrics and Gynaecology. He graduated with honours from the Technion Medical School and completed his residency and specialist training at Bnai-Zion Hospital in Israel. Throughout his medical education, Dr. Barak earned multiple academic awards and scholarships, reflecting his dedication and excellence in the field.

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