The micro TESE procedure involves an exhaustive search of one or both testes to potentially retrieve  sperm. The procedure is performed with the assistance of an operating microscope to sample only those areas with the best potential for sperm being present and to take great care to limit the injury to blood vessels which nourish the testicular cells. This procedure often takes several hours and exposes the testis tissues to drying and exposure to the room air.  If you read the following instructions carefully and follow them precisely you will greatly limit your post operative discomfort and minimize the potential for any post operative complications.

Pre-operative Preparation:

  1. For any elective surgery you should be in the best of health. It is important to let my office know if you have any other health problems which might necessitate consultation with an internist prior to your surgery.
  2. Avoid aspirin and aspirin products for a week before your surgery.
  3. If we have prescribed medication (e.g. antibiotics, sperm production enhancers) to be taken prior to the procedure please be compliant with the instructions you were given. If you have any questions please call us and ask.

Hospitalization:

  1. You will normally be operated on as an out-patient at an Ambulatory Surgical Center. The week before surgery you will usually be asked to report to the Ambulatory Surgical Center at which time a medical history, complete examination and necessary laboratory tests will be performed.
  2. On the day of your surgery, you will be asked to report to the Ambulatory Surgical Center at least one hour before surgery and must be accompanied by someone capable of driving you home. You will not have eaten nor drunk anything since dinner the night before. I will meet with you during the hour prior to surgery to examine you and answer any questions.
  3. Your micro TESE procedure might  take several hours. The procedure is performed usually under a general or a spinal anesthetic, both of which are extremely safe and effective.
  4. You will remain in the recovery room for a minimum of one hour and as long as you need until you feel comfortably alert for travel.
  5. You must bring a responsible person with you that can drive you home and be able to stay with you for at least 8 hours after the procedure.

Post-Operative Care

  1. A small amount of bright red blood from the incision site is to be expected. DO NOT be alarmed if you feel that the amount is excessive–call my office.
  2. At the time of discharge from the Ambulatory Surgical Center you will have been given prescriptions for pain medication and, occasionally, antibiotics. When taking pain medication, be careful as you walk or climb stairs. Dizziness is not unusual.
  3. You will often have swelling and ‘black and blue’ one or both testes over the days after the procedure.  this might be accompanied by tenderness. You should take the prescribed pain medication on a “as needed” basis. You should take any antibiotics that have been prescribed as directed.  If you feel the pain or swelling is increasing or you have a fever or chills please call us.
  4. Do not drive the first two days after the surgery, but you can ride in a car if someone else is driving. If you are still taking narcotic pain medications you should not drive.
  5. You may shower 48 hours after the surgery. Keep the dressing dry until then.
  6. If your job involves only desk work and very light activity, you may return 2 or 3 days after the surgery. It is likely that you will have some discomfort for the first few days after surgery.
  7. No heavy work or sports are allowed for 2 weeks post-operatively.
  8. No sexual intercourse is allowed for 2 weeks post-operatively.
  9. You will need to wear an athletic supporter (jock strap) for at least 1 week post-operatively.
  10. You may resume normal activities as you feel up to it.
  11. There are no stitches that need to be removed.

If you have any questions after your surgery, please call the office (516-487-2700).

If you would like more information please contact:

Bruce R.Gilbert, M.D., Ph.D. at 516-487-2700 or info@BruceGilbertMD.com