Patient's question:
How many years have you been married, and your wife has never been pregnant. The family is urging us very urgently, thinking that we are using contraception, but we are not. So, I discussed with my wife to go to the hospital for a check-up. The result showed that my vas deferens was blocked, which caused the infertility. I was very heartbroken.Doctor's answer:
Hello. The treatment for vas deferens obstruction needs to be selected based on different causes: For vas deferens obstruction caused by congenital factors or etiologies, it is often due to congenital absence or obstruction of the vas deferens, as well as congenital atrophy of the epididymis, etc. For this type of vas deferens obstruction, treatment requires vas deferens reconstruction surgery, which involves incising the deformed area and then using advanced treatment methods to restore the patency of the vas deferens. For vas deferens obstruction caused by infections, such as tuberculosis, gonorrhea, and filariasis, if the tuberculosis bacteria invade the wall of the vas deferens, it can cause thickening of the vas deferens wall, which may then affect the entire epididymis and testis, leading to vas deferens obstruction. In this case, it is best to adopt corresponding anti-inflammatory methods for treatment, which can basically alleviate local congestion in the seminal vesicle. For vas deferens obstruction caused by conditions such as spermatic cord tumors, epididymal, seminal vesicle cysts, and tumors, the treatment involves chemotherapeutic intervention targeting the causative factors or etiologies of the condition. This can basically inhibit tumor growth, followed by surgical removal of the affected area. Additionally, traditional Chinese medicine regulation may also be performed to restore the patency of the vas deferens.