Testicular Biopsy

A testicular biopsy is an advanced medical procedure that is performed by surgeons to determine the cause of male infertility. It is usually done in cases where the man’s semen does not have sperm and when hormonal tests are unable to diagnose the causes of low sperm count. At Gaudium, all patients are requested to sign a consent form stating that they realize the risks involved and consent to the procedure in writing. They are all also asked the following vital questions:


  • Whether they have had any bleeding problems in the past?
  • Whether they are allergic to any kind of medications including anaesthetics?
  • Whether they are taking any blood thinning medicines or non-steroidal anti- inflammatory drugs?
  • Whether s taking formulations like warfarin, heparin, enoxaparin, aspirin, and ibuprofen?


The primary reason why testicular biopsy is performed is to:


  • Locate a lump in the testes and diagnose its location
  • Obtain sperms for in-vitro fertilization
  • Diagnose the causes of male infertility


There are two kinds of testicular biopsy procedures that are carried out:


  • Percutaneous Biopsy: In this technique, a thin biopsy needle with a syringe is inserted into the skin to collect the testicular tissue. It is also referred to as fine needle therapy since no incision or stitches are required. At times, a core needle biopsy is performed when a larger sample is needed and this procedure requires a hollow, spring-loaded needle to extract a cylinder of cells.
  • Open Biopsy: This procedure requires stitches and the surgeon starts off by making a cut in the skin and the testicle from where a tissue sample is obtained and stitches are made to close the incisions made.


At times, testicular biopsy may be used to diagnose testicular cancer and if it is done under local anaesthesia, no specific precautions may be required. But if it is done under general anaesthesia, then the patient may be asked to stop the consumption of solid and liquid food a few hours before surgery. Patients are asked to fill out the medical test information form and encouraged to ask about any apprehensions that they may have with regard to the surgery. Some patients do want to know about the risks involved and how it will be performed and we do our best to address their concerns so that they feel confident before the surgery.

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