Patient's question:
, besides tubal recanalization surgery, are there any other better methods?Doctor's answer:
An 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-tubercular, or anti-tumor therapies. In some cases, the obstructed section can be removed 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 blocking the spermatic duct. This hinders the downward flow of kidney essence, preventing ejaculation and fertility, and is classified into two types: cold stasis and damp-heat stasis. Treatment focuses on 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 shortening the recovery time and better preserving the patient's reproductive organs and fertility. Additionally, epididymal reanastomosis or epididymal-vas deferens anastomosis can be performed, depending on the patient's condition and tailored treatment approach.