Testicular biopsy in men: a description of the procedure, preparation, cost and feedback of patients

Testicular biopsy - special diagnostic methodmale infertility, as well as a method for detecting malignant etiology of the tumor. During the procedure, the doctor can take the tissue for further histological examination or get sperm for other alternative methods of conception. Today we learn a lot of important and interesting information about the procedure, such as a testicular biopsy in men: the price, preparation for manipulation, the operation, possible complications. Also find out that the patients themselves are thinking about this method of diagnosis.

In what cases can be conducted?

A testicular biopsy in men is done in such situations:

1. With the diagnosis of azoospermia. This is a condition in which reproductive function is impaired. This biopsy helps determine the cause of azoospermia.
2. If a couple can not conceive a child naturally and resorts to other methods.
3. If there is a suspected tumor in the male sex gland.

Side effects

Sometimes there may be negative results after a procedure such as a testicular biopsy in men. The consequences are as follows:

1. Painful sensations.
2. Edema.
3. Blood accumulation.
4. Hematoma, bruise. Additional measures to eliminate the problem are not required.
5. Inflammatory process in the testicle or its appendage. Infection occurs, usually after an open biopsy. In this case, the doctor prescribes antibacterial treatment, as well as careful treatment of the wound with an antiseptic.
6. Atrophy of the testicle. It is accompanied by a decrease in the size of the organ and its functional disorders. To prevent this negative consequence, a man should repeatedly visit the andrologist and make an ultrasound of the scrotum. The patient should carry out these activities as soon as a problem is discovered.

Testicular biopsy in men: preparation for the procedure

There are clear rules that must be observed for 3 months before the manipulation:

1. Exclude any physical activity.
2. Wear cotton free underwear.
3. Do not visit the sauna, sauna.
4. Stop smoking and drinking alcohol.
5. Healthy food.

If you follow these rules, then in the end the quality of the seminal fluid will be excellent and the couple will be able to get a healthy baby the first time.

4 days before biopsy a man should refrain from having sex or masturbation.

The day before the prescribed procedure, the patient must adhere to the following rules:

1. In the evening on the eve of the mini-operation there is no after 8 pm.
2. Exclude the use of soda water, as well as beverages containing caffeine.
3. In the morning on the appointed day, the man should shave the scrotum. You do not need to do this beforehand so that irritation does not appear.
4. If a man takes any medication, then he must tell the doctor about it.

Preliminary delivery of tests

Before carrying out the manipulation, called a testicular biopsy in men, the doctor necessarily sends the patient to such studies as:

1. Smear from the urethra.
2. Coagulogram.
3. Taking tests for syphilis, hepatitis, HIV.
4. Electrocardiogram.
5. General blood analysis.
6. Determination of Rh factor and blood group.

All these tests can be completed in one day. If, according to the results of the preliminary studies, any diseases are identified, then the appropriate treatment will be required first, and then the material will be taken.

Types of manipulation

Open biopsy. It is used for diagnostic purposes.

Puncture biopsy. It is carried out both for diagnostic and therapeutic purposes.

How is an open biopsy done?

This mini-operation is carried out in stationary conditions. A man during manipulation is under local or general anesthesia:

• the surgeon makes a cut on the skin, and then in the egg white shell;
• cut out a small piece of the organ;
• Sew the cut with a cosmetological suture.

Duration of manipulation from 10 to 20 minutes. A man can go home the same day. There he should not have sex for 2 days, and also not physically burden his body. So a person will minimize the risk of injury after surgery.

An open biopsy is performed in 3 ways:

1. TESE - an operation in which the wedge-shaped areas of the testicular tissue are removed.
2. Micro TESE - when the scrotum is opened, the testicle is exposed and under the microscope the doctor determines the appropriate channels in which spermatozoa should be placed.
3. MESA - the expert allocates a large canal of the epididymis, and then conducts aspiration of its contents.

How is puncture biopsy done?

Manipulation under local anesthesia, as well as ultrasound control. It is performed as follows:

• the surgeon pierces the testicle;
• sampling of spermatozoa is performed.

Puncture testicular biopsy in men has 2 ways of inserting a needle:

1. TESA - when the seed is taken from the testicle.
2. PESA - when the material is removed from the appendage.

What is better: an open or puncture biopsy?

In the first case, special equipment is required. At the second variant the mini-operation can be carried out even in the dressing room.

The downside of a puncture biopsy is the fact that the material is taken blindly. And this can lead to damage to blood vessels, the appearance of bruises.

An open biopsy is performed only in a stationary setting. But the plus of conducting such a study is minimizing the risk of complications.

Behavior after manipulation

When a procedure like a testicle biopsy in men is performed, the doctor must necessarily advise the patient about how the behave should behave after the mini-operation, namely:

1. It is compulsory to take prescribed medications.
2. Wear underwear made of natural fabric.
3. Keep the scrotum in a raised position.
4. Do not forget to treat the wound with iodine.
5. Do not drive the car in the first day after a biopsy.
6. Do not take a shower or bath for 3 days after the manipulation.

Estimates

A procedure such as a testicular biopsy in men,reviews from representatives of the male half of humanity receives positive. True, the number of responses on the Internet is negligible. Men are not used to sharing their problems with other people, and even more so to describe the situation and sensations through the World Wide Web. But women do it for them. They learn about how the procedure went, and then leave their messages on the forums. So, they note that it is better to carry out this manipulation under general anesthesia. If it is carried out under local anesthesia, the man will hear everything that is happening on the operating table. Since the nervous system of the guys is not as strong as the girls, they can be very nervous, or start interfering with the doctor, asking him inappropriate questions. And still people advise to do procedure not in summertime. In hot weather, a person will feel discomfort in the postoperative period. This is confirmed by many men. Strong sex recommends, if possible, postponing manipulation for the spring-autumn or winter periods.

Testicular biopsy in men: the cost of the procedure

The cost of this method of taking material is different and depends on several factors:

1. Region, medical center, where a mini-operation will be conducted.
2. Type of surgical intervention (open or puncture biopsy).
3. Technique of manipulation (taking material from the testicle or from its appendage).
4. Method of anesthesia (general or local anesthesia).

Proceeding from these criteria, the price for such procedure, as a biopsy of a testicle at men is formed. The cost of manipulation varies between 25,000-65,000 rubles. This price includes:

1. Anesthesia.
2. Fence tissue.
3. Comfortable stay in the clinic.
4. Postoperative observation.

To clarify the price a person should go to the clinic where the biopsy will be done.

Methods of sampling sperm

There are only two of them:

1. Direct ECO by ICSI. The procedure is performed after the collection of eggs from a woman.
2. Preservation of seminal fluid. Thanks to this technique, it is possible to keep alive the sperm obtained alive and to perform fertilization outside the cycle of IVF. Especially since frozen semen retains its properties for 1 year.

Conclusion

In this article, you learned how to do a testicular biopsyin men, what methods are used for this. This method of taking material must be done, if there is a probability of a malignant tumor. A biopsy is also performed for men to determine the quality of sperm and further chances of becoming a father. Be afraid of this procedure is not necessary. If you have a biopsy from a qualified doctor in a good clinic, the risks of complications will be minimal.