Testicular biopsy

What is a Testicular Biopsy?

A testicular biopsy is a procedure that involves removing a small sample of tissue from the testicles for testing. This helps to diagnose issues related to fertility, as well as other potential health issues, such as cancer.

Preparation for a Testicular Biopsy

In preparation for a testicular biopsy, it’s essential that patients follow the doctor’s instructions carefully. This usually includes arriving approximately one hour prior to the procedure, which is done on an outpatient basis. During this time, the patient will be asked to empty the bladder as well as change into a hospital gown. The area around the testicles will be cleaned and the patient given an injection to numb the area and help with pain.

Testicular Biopsy Procedure

The testicular biopsy procedure itself is usually brief, lasting between 15-30 minutes. The doctor will use a thin needle to take a tiny sample of tissue from the testicles. This will then be sent off for assessment. Often, the results are available within a few days.

Types of Testicular Biopsy

There are three types of testicular biopsy that can be performed. These are:

  • Testicular Tissue Biopsy: This is the most common type of testicular biopsy. It involves a needle being inserted into the testicles to take a sample of the tissue.
  • Spermatic Cord Biopsy: This procedure involves removing a small piece of the spermatic cord for testing by inserting a needle through a scrotal incision.
  • Open Biopsy: An open biopsy is less common than the first two types of testicular biopsy. This involves making a larger incision in the scrotum to gain access to the testicles.

Risks of a Testicular Biopsy

As with any medical procedure, there are risks involved with a testicular biopsy. These may include pain, swelling, infection, and bleeding. It’s also important to be aware that in some cases, the biopsy may cause an interstitial cell tumor.

Why Might Someone Need a Testicular Biopsy?

A testicular biopsy may be done for a variety of reasons. The most common reason is to investigate fertility problems. There may also be a need to look for a cause of testicular cancer, as well as other testicular diseases such as varicocele. Additionally, it may be done to check for infection or testicular torsion.

When Should Someone Have a Testicular Biopsy?

A testicular biopsy usually takes place when there is a concern about fertility, and other tests have shown that there may be a problem with the tissue of the testicles. It should only be performed by a doctor who is experienced in this type of procedure.