Obstructive azoospermia

To conceive normally, you must have healthy eggs and highly active sperm. However, some women may not ovulate, and some men may have weak sperm motility. These can be solved through treatment. Male obstructive azoospermia is a difficult disease to treat because it may be due to congenital problems with the vas deferens or due to vasectomy.

1. Symptoms of obstructive azoospermia

Obstructive azoospermia is a type of azoospermia, which brings great troubles to male friends. This disease is an important cause of male infertility. Male friends should understand the symptoms of obstructive azoospermia as early as possible and treat this disease accordingly, so as to better stay away from the damage of infertility and make their wives successfully conceive.

1. Congenital vas deferens obstruction: Congenital vas deferens obstruction can occur in any part of the vas deferens, from the intratesticular duct system to the ejaculatory duct. It is reported that intratesticular obstruction accounts for about 15% of obstructive azoospermia, and is often caused by testicular rete obstruction after inflammation.

2. The most common cause of acquired vas deferens obstruction is vasectomy. About 2%-6% of men who undergo this sterilization procedure require vasectomy recanalization. In 5%-10% of patients who undergo vasectomy, epididymal vasostomy is necessary due to combined epididymal duct obstruction.

3. Ejaculatory duct obstruction accounts for about 1%-3% of patients with obstructive azoospermia. This obstruction can be divided into cystic obstruction and post-inflammatory obstruction. Cystic obstruction is a congenital obstruction, manifested as Müllerian duct cysts, urogenital sinus/ejaculatory duct cysts; the cysts are mostly located between the prostate and the ejaculatory duct.

2. Treatment of obstructive azoospermia

Azoospermia accounts for about 15%-20% of male infertility patients. There are many causes, which can be summarized into two categories. One is the dysfunction of the testicles themselves, which is called primary azoospermia or non-obstructive azoospermia. The other is that the testicles have normal spermatogenesis, but due to the obstruction of the vas deferens, sperm cannot be discharged from the body, which is called obstructive azoospermia. Obstructive azoospermia can cause infertility in patients, because the patient's sperm cannot be discharged from the body, resulting in infertility. It causes harm to oneself and family disharmony. So what is the treatment for obstructive azoospermia? Let's take a detailed look below!

1. Treatment of vas deferens and epididymis obstruction: Most cases of obstructive azoospermia are cured by microsurgery. Vas deferens obstruction can be treated by vasectomy, and epididymis obstruction can be treated by vasectomy-epididymis anastomosis.

2. Treatment of azoospermia with ejaculatory duct obstruction: Some traditional examinations for ejaculatory duct obstruction generally use vasectomy. However, the newer imaging method is transrectal or transperineal seminal vesiculography. Compared with traditional examination methods, this method can reduce the risk of vas deferens obstruction in patients. With the advancement of technology, azoospermia can be diagnosed with ejaculatory duct obstruction by transrectal MRI examination. The maximum diameter of the seminal vesicle exceeds 1.5cm, indicating the presence of ejaculatory duct obstruction. The traditional method for the treatment of ejaculatory duct obstruction is transurethral vasectomy.

In fact, it is not difficult to treat obstructive azoospermia. The key is that the patient can discover and find out the cause in time and get a scientific treatment plan. In this way, the patient's chance of recovery from obstructive azoospermia is also very high. The above tells us how to treat obstructive azoospermia. I hope it can help the majority of obstructive azoospermia patients.