Patient's question:
Vas deferens blockage, besides tubal recanalization surgery, are there other better methods?Doctor's answer:
Epididymal obstruction is not an independent disease but rather a symptom caused by various conditions. Treatment should first address the underlying cause, such as anti-inflammatory, anti-tuberculous, or anti-tumor therapies. In some cases, the blocked section can be excised and the ends reanastomosed, or sperm may be directly aspirated from the epididymis for artificial insemination.Traditional Chinese medicine (TCM) believes that epididymal obstruction is due to blood stasis obstructing the semen duct. This blocks the downward flow of kidney essence, preventing ejaculation and fertility, and is classified into two types: cold stasis and damp-heat stasis. Treatment involves promoting blood circulation, resolving stasis, and generating new blood to restore the blocked duct. Taking Chinese herbal medicine may be an option, but its effectiveness is uncertain.
Microsurgical epididymal reanastomosis avoids the drawbacks of traditional treatments, significantly shortens the recovery time, and better preserves the patient's reproductive organs and fertility. Additionally, epididymal reanastomosis or epididymal-vasal anastomosis can be employed, depending on the patient's condition and tailored treatment approach.