How should vasectomy blockage be treated

Patient's question:

The lower abdomen always has a dull pain, and I haven't been able to get pregnant after being married for many years. The hospital examination said the fallopian tubes are blocked. Please ask: How should a vas deferens blockage be treated?

Doctor's answer:

1. Antimicrobial treatment is generally not required for edema at the vas deferens orifice caused by genital tract infections. With antimicrobial and physical therapy, inflammation and edema can be controlled, allowing the genital tract to recover its patency.
2. In cases of intestinal obstruction, if the vas deferens is patent, the obstructed segment is removed, and an end-to-end anastomosis of the vas deferens is performed.
3. In cases of inflammation at the tail of the epididymis, a vas deferens-epididymis anastomosis can be performed.
4. Tumor resection is applicable for spermatic cord, seminal vesicle, or prostate tumors or cysts, and the surgical removal can be performed.
5. Urethral orifice incision or urethroplasty is used to treat urethral stricture or self-locking caused by urethral trauma.

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