Patient's question:
What methods are used to treat vas deferens blockage?Doctor's answer:
Hello. 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 and testosterone in the serum, and normal results from testicular biopsy pathology. The causes or etiology include:1) Urinary and reproductive system infections, such as epididymitis, prostatitis, seminal vesiculitis, or epididymal tuberculosis, which can cause vas deferens obstruction, with the connection between the epididymis and vas deferens being more commonly affected.
2) Injuries, such as inguinal hernia repair, varicocele surgery, or spermatic cord tumor surgery, which can damage the vas deferens; surgery for epididymal spermatocele or hydrocele of the tunica vaginalis, which can damage the epididymis; prostate surgery, which can cause obstruction of the ejaculatory duct; or even without direct injury, postoperative infections, adhesions, or scar formation can compress and obstruct the vas deferens.
3) Tumors, such as epididymal tumors, seminal vesicle tumors, or prostate tumors, which can all cause vas deferens obstruction.
4) Congenital malformations, such as absence of the head, body, or tail of the epididymis, partial or complete absence of the vas deferens, non-connection between the vas deferens and epididymis, or underdevelopment of the epididymis, vas deferens, or seminal vesicles.
Treatment depends on the specific cause or etiology. If it is due to infection, antibiotics should be used for four weeks, along with local heat application. Once edema subsides, the reproductive tract can recover its patency. If it is due to organic causes, surgical treatment should be sought from a professional urology department. I hope this is helpful to you. Wishing you a speedy recovery.