Patient's question:
Doctor, I would like to ask you some questions. During intercourse, there is some pain when ejaculation occurs, and the amount of semen is particularly small. My colleague told me it might be a symptom of a blocked vas deferens disease. I would like to know if my symptoms could be due to a blocked vas deferens and how to treat this condition effectively.Doctor's answer:
1. Anti-infection: Edema of the vas deferens orifice caused by genitourinary tract infections generally does not require surgery. Anti-infection and physical therapy can control the inflammation, allowing the edema to subside and the genitourinary tract to recover its patency.2. Vas deferens anastomosis. If the obstruction is in the vas deferens, the obstructed segment can be resected, followed by end-to-end anastomosis of the vas deferens.
3. Internal urethral orifice incision or urethroplasty to treat urethral stricture or atresia caused by urethral trauma.
4. Tumor resection. Tumors or cysts of the spermatic cord, seminal vesicle, or prostate can be surgically removed.
5. Epididymal-vas deferens anastomosis. If the lesion is in the tail of the epididymis, epididymal-vas deferens anastomosis can be performed.