Vas deferens obstruction is one of the important causes of male infertility, which is manifested as the obstruction of kidney sperm discharge and the inability to ejaculate and conceive. There are many reasons for vas deferens obstruction, and the appropriate treatment method should be selected according to the different causes. 1. Anti-infection1: Ejaculatory duct edema caused by genital tract infection generally does not require surgery. After anti-infection and physical therapy to control inflammation and edema, the genital tract can be restored to normal. However, it should be noted that this is only effective during the acute inflammation period. However, when the vas deferens is found to be blocked, it is often the sequelae of inflammation. At this time, anti-inflammatory treatment is too late and has no effect. 2. Internal urethrotomy or urethroplasty1: Treat urethral stenosis or occlusion caused by urethral trauma. 3. Vasectomy1: If the blockage is in the vas deferens, the blocked segment can be removed and the vasectomy performed end-to-end. IV: Vasoepididymostomy1: If the lesion is located at the tail of the epididymis, vasectomy can be performed, but the therapeutic effect is extremely poor. 5. Tumor Resection1: Spermatic cord, spermatic vesicle and prostate tumors or cysts can be surgically removed. 6. Artificial insemination1: Artificial insemination treatment between spouses with sperm extraction by vas deferens puncture. Seven: Artificial sperm sac1: For those with poorly developed or absent vas deferens, artificial sperm capsule can be used to collect sperm in the epididymis and then artificial insemination can be performed to solve fertility problems, but it has basically no therapeutic effect. 8: Vas deferens obstruction is not a singleIt is not a disease, but a symptom caused by multiple diseases. The primary disease should be treated first, such as anti-inflammatory, anti-tumor, etc. The blocked part can also be removed and the stumps can be anastomosed. In some cases, sperm can be directly extracted from the epididymis for artificial insemination. |
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