A testicular biopsy consists of a small surgery that allows the extraction of tissue from the testicles and its observation under a microscope.

It can be done by opening the skin of the scrotum or by a puncture and aspiration with a special needle. A local or general anesthetic is administered in the area, so the testicular biopsy is painless.

In general, this technique is performed with two objectives: diagnostic and therapeutic. Thus, testicular biopsy allows determining the cause of male sterility and sperm collection when a seminogram shows azoospermia (absence of sperm in the ejaculated semen).

Usually, a testicular biopsy does not cause serious complications. The most common risks include wound infection or minor discomfort in the hours following the operation.

Diagnostic Uses of a Testicular Biopsy

A testicular biopsy is also used in diagnosing male infertility. Semen analysis notices the quantity and quality of the sperm. The initial semen sample is obtained by masturbation.

A semen analysis can identify poor sperm quality, absence of sperm, and abnormally low levels of sperm.

However, a testicular biopsy may be used to determine if a blockage causes sperm production problems, diagnose testicular cancer, and select the lump’s cause. It is also used to retrieve sperm for use in IVF.

A testicular biopsy is an outpatient procedure that takes about 15 to 20 minutes.

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