How can epididymal obstruction be treated?

Patient's question:

Hello, I would like to consult how to treat blocked vas deferens. I have never paid much attention to health check-ups, but recently I've been feeling some discomfort, often experiencing pain during urination, and a sense of incomplete urination. I thought it might be a prostate issue, but the examination revealed that it was a blocked vas deferens.

Doctor's answer:

Obstruction of the vas deferens can cause obstructive azoospermia, which is also clinically referred to as pseudo-azoospermia. Its clinical manifestations and characteristics are as follows: normal-sized testicles, absence of sperm, normal levels of follicle-stimulating hormone (FSH) and testosterone in the serum, and normal results from testicular biopsy. However, for a definitive diagnosis, contrast imaging must be performed. It is recommended to first undergo a vasography to identify the cause. Additionally, the patient should avoid smoking, drinking alcohol, and consuming spicy or stimulating foods. The diet should be as light and nutritious as possible, along with regular exercise to maintain physical and mental health.

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