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Testicular biopsy in Tunisia : Male infertility treatment

Testicular biopsy in Tunisia: what is testicular puncture in Tunisia?

Testicular biopsy is the surgical removal of sperm. This procedure is used to obtain a tissue sample from one or both of the testicles (glands responsible for the production of sperm and hormones such as testosterone). Sperm sampling is the first step in the treatment of male infertility, as it allows the physician to establish a diagnosis and to set up an appropriate treatment.

Testicular biopsy is performed on men who suffer from infertility due to low sperm production.) It is usually performed when the man has azoospermia (absence of sperm in the semen), and therefore helps to understand the causes of the disease.

Testicular biopsy in Tunisia allows the diagnosis of the type of azoospermia. 

What are the different types of azoospermia?

There are two types of azoospermia:

The biopsy sample is analyzed by the pathologist and sometimes by the reproductive laboratory. The aim is to study the maturation of the individual cells of the sperm line (spermatogenesis). In the case of obstructive azoospermia, live sperm can be collected for IVF (in vitro fertilization) by injecting sperm directly into the egg or for artificial insemination.

Price of Testicular Biopsy in Tunisia

The price of a testicular biopsy in Tunisia is variable depending on your choice to include the stay or not.

We present the price of testicular biopsy in Tunisia:

The price of a testicular biopsy in Tunisia without stay is 1000€.

It should be noted that the price is indicative for this type of intervention as this procedure is usually accompanied by another intervention of infertility treatment to see IVF, IAC or myomectomy.  In order to know the price of a testicular biopsy in Tunisia, please fill out the quote form.

Interventions Price
Testicular biopsy without stay
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Testicular biopsy with stay
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Male infertility treatment: what you need to know before you start

The first step is the pre-operative check-up. You will be asked to undergo a series of biological examinations (hormonal assessment, spermogram, karyotype, prostate and testicular ultrasound).

The doctor will discuss the results with you and suggest additional tests or treatments, depending on the problem identified. Your doctor will discuss the results of the tests with you and suggest the appropriate treatment. He or she will also need to inform you of the course of treatment, as well as the risks, contraindications and cost. He or she will also need to obtain your consent for any freezing of your spermatozoa.

How is the testicular puncture performed in Tunisia?

The biopsy is done on an outpatient basis, which means that you can go home the same day. The procedure can be performed under local anesthesia (spinal or epidural) or general anesthesia. It lasts about 15 minutes. Sperm collection is done by testicular puncture, which can be performed on one or both testicles.

There are two types of procedures for testicular biopsy in Tunisia:

Percutaneous testicular biopsy

Percutaneous testicular biopsy is performed with an automatic gun. It is a fine biopsy needle that is infiltrated through the skin at the level of the spermatic cords. The needle has a syringe at the end to collect the testicular tissue. The testicular tissue sample is taken bi-laterally. And just like the classic testicular biopsy, the percutaneous biopsy is indicated for men who suffer from azoospermia in order to provide spermatozoa for the purpose of IVF (in vitro fertilization) by intracytoplasmic sperm injection (ICSI). This procedure does not require an incision or stitches. It is also called a fine needle biopsy.

Surgical Testicular Biopsy

The doctor begins by making a small incision (about 1cm) in the scrotum (usually in the middle part of the testicles, at the birth of the testicular sac). He removes the testicle from its bursa and takes a small piece of tissue. The testicle is then sewn back together with absorbable threads.

biopsie testiculaire - traitement de l'infertilité

*Disclaimer: results may vary from one person to another depending on the morphology of the patients.

  • Testicular biopsy in Tunisia rarely causes complications. Any discomfort or pain experienced after the procedure usually disappears quickly with a prescription for analgesics and painkillers. The stitches on the skin normally dissolve within 2 to 3 weeks. Sexual activities can be resumed shortly after the procedure, when the healing is complete and the pain experienced after the operation has disappeared. In most cases, the pain is mild to minimal. 

    It is recommended to put ice on the testicles. It is generally recommended that you rest at home for a few days before returning to work.

    You can find out the result of the sample the same day. The sperm collected can be frozen for use in future IVF (in vitro fertilization) by ICSI (injection of sperm into the egg). This can only be done with your consent.

Although it is not very common, there are risks of complications during the operation. There is a risk associated with every operation under anesthesia, which the anesthesiologist will detail during the consultation.

Possible post-operative complications of scrotal surgery include problems with wound healing, the appearance of hematomas or micro-infections, and prolonged pain. The majority of these complications can be treated with medical measures, however, in some cases a second operation is necessary.

The risk of losing a testicle as a result of the operation should be mentioned, but it is extremely rare.

There is a risk of testosterone deficiency (decreased libido, fatigue, etc.), especially if there was a hormonal disorder before the operation or if the testicular volume was low. If this occurs, a substitution program with testosterone injections may be considered.

The success rate of a testicular biopsy in Tunisia depends on the type of azoospermia. Thus, in case of excretory or obstructive azoospermia, the chances of collecting spermatozoa can be as high as 100%. However, in the case of secretory azoospermia, the success rate of testicular biopsy in Tunisia can usually not be higher than 50%.

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