How should the blocked vas deferens be treated?

Patient's question:

Married for more than two years and still haven't had children. I went to the hospital for a sperm test, and the report came back with no sperm. Then, a blood test report came back with sperm. After the doctor's diagnosis, it was believed that I have a blocked vas deferens. What should I do now? How can I be treated to have children? How should I be treated after the vas deferens is blocked?

Doctor's answer:

Hello! The key to treating vas deferens blockage lies in identifying the specific cause of the blockage:
1. Vas deferens epididymal anastomosis: If the blockage is due to a lesion in the tail of the epididymis, a vas deferens epididymal anastomosis can be performed.
2. Tumor resection: If the blockage is caused by tumors or cysts in the seminal vesicles, prostate, or other areas, surgical resection may be necessary.
3. Vas deferens anastomosis: The obstructed segment of the vas deferens is excised, and anastomosis is performed at the ends.
4. Anti-infection treatment: After anti-infection and physical therapy, inflammation and edema are controlled, allowing the reproductive tract to regain patency.

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