How It Is Done continued...
A local anesthetic will be injected into the skin of
the scrotum to numb (anesthetize) the area. Then a small incision is made
through the skin, and a tiny piece of testicular tissue is removed with small
scissors. A single stitch is used to close the incision in the testicle, and
another stitch is used to close the incision in the skin. (Absorbable sutures
are used so the stitches do not need to be removed.) The procedure is usually
repeated on the other testicle. The scrotal area is then bandaged. You will be
asked to wear an athletic supporter for several days after the procedure to
help support the testicles while the incisions heal.
anesthesia is used, you will be asleep during the procedure but the same method
will be used.
The biopsy usually takes 15 to 20 minutes. You will
probably be advised to refrain from sexual activity for 1 to 2 weeks after the
biopsy. You should avoid washing the area for several days.
How It Feels
You will feel a brief sting when the IV
line is inserted or when the local anesthetic is injected. Other than that, the
procedure should be painless.
Your scrotum and testicles may be
somewhat sore for 3 to 4 days after the biopsy and some bruising may be
present. You may also notice a small amount of bleeding through the bandage,
which is normal. Talk to your doctor about how much bleeding to expect.
There is a slight risk of prolonged bleeding or
infection from this procedure. There is no risk of erection problems or
infertility as a result of this biopsy. If general anesthesia is used, there is
a small risk of complications from anesthesia.
After the biopsy
Call your doctor immediately if
- Severe pain in your scrotum. Some mild discomfort is
- Severe swelling of your scrotum. Some mild swelling is
- A fever higher than
Excessive bleeding through the bandage.
biopsy is a test in which a small sample of tissue is
taken from one or both
testicles and examined under a microscope to evaluate
a man's ability to father a child. Results are usually available in 2 to 4
pathologist examines the biopsy sample through a
microscope for any abnormalities in sperm production or maturation. If sperm
development appears normal yet a semen analysis test shows reduced or absent
sperm, a blockage of the tube (vas deferens) from the testes to the
urethra is suspected. A blocked vas deferens can sometimes be repaired by
What Affects the Test
It is important to remain
completely still while a biopsy is done under
local anesthesia. If this is not possible, general
anesthesia may be needed.