Male Infertility Treatment
Male Factor Infertility:Sperm Selection (PICSI)/
Testicular Sperm Extraction (TESE)
What is it?
    Physiological Intracytoplasmic Sperm Injection (PICSI) is a scienfitic method used in Intracytoplasmic Sperm Injection to assist embryologists to select the sperm. Sperm is placed in a PICSI dish containing samples of hyaluronan hydrogel. Hyaluronan is a naturally occurring biopolymer found in all human cells, including the gel layer surrounding the oocyte. 
  • TESE
    Testicular Sperm Extraction is a procedure to take a small sample of tesicular tissue from the testes. Surgical sperm retrieval by TESE can be performed prior to or coincident with an IVF cycle for the female partner. We have performed all initial TESE procedures on the day of oocyte retrieval during a programmed IVF cycle to maximize the potential to retrieve viable spermatozoa for use with ICSI.
How does it work?
    The PICSI dish provides a test which is based on the ability of sperm to bind to Hyaluronan (HA). Mature, biochemically competent sperm bind to the hyaluronan where they can be isolated by the embryologist and used for ICSI.
  • TESE
    A small amount of testis tissue is taken by biopsy under local anesthesia. Subsequent processing of the testicular tissue suspension, including microdissection of the specimens is performed in the IVF laboratory. Aliquots of tissue are also processed for cryopreservation. 
When is it used?
IVF is the best treatment of infertile couples when there is severe impairment of sperm count, motility, or shape, or when sperm antibodies are present. The laboratory technique of Intracytoplasmic Sperm Injection (or ICSI) has revolutionized the way we can treat male infertility. Even men with no sperm in their semen can father a pregnancy if the urologist extracts sperm from the man's epididymis or testicle for use in IVF.