Deutsch (DE-CH-AT)Arabic(السعودية)English (United Kingdom)

Kontakt

Praxis für Urologie
Dr. med. Aref El-Seweifi
Forum Zehlendorf
Teltower Dam 35
D-14169 Berlin
Deutschland

Tel.: +49 30 804 90 950
Fax: +49 30 804 90 951
info@masculine.de
Child wish ICSI
The testis is the organ which produces sperms (spermatogenesis). It produces also the male hormone testosterone. Azoospermia is the condition when man is infertile and his semen contains no sperms. The causes for this condition are either obstruction of the seminal ducts, vas deferens, failure of production or maturation of the sperms inside the testicular tissues. The exact cause is reached through operative interference to winn a sample of the testicular tissue (biopsy or ICSI) for its histological examination, freezing and exclusion of eventual hidden cancer at the same setting. This is performed in case of child wish.

ICS is done for patients who fail to have a child within one year of trial ( child wish) where there are no sperms in their semen provided that their hormone profile is within normal range.

The ICS patient (child wish patient) lyes on his back. The scrotum is injected with local anaesthesia in the vicinty of the vas deferens and testicular vessels. A small incision in the middle of the srotum is done. The testis is exposed and opened over 2 mm incision. 3-5 samples of its tissues are taken and put in a special medium. The procedure is repeated on the other side through the same incision. The wound is closed. And dressed. Although the tissues of a healthy testis has a certain appearance, yet it must be examined under microscope before any decision is made. During ICSI (child wish) a sample of tissues is taken also for exclusion of testicular tumours. This is because patients with child wish who are subjected to ICSI are of young age and hence vulnerable for testicular malignancy.

Most of these patients are accompanied by their wives. This important from the emotional point of view and it is also important for taking the decision for having a child and most important to be sure that the female factor is healthy.