Can the vas deferens blockage be completely cleared?

Patient's question:

I am 31 years old this year, and I have been married for four or five years. Due to my vas deferens problem, my wife cannot get pregnant or have children. I have been to many hospitals for treatment over the years, but there has been no significant improvement.

Doctor's answer:

Hello, edema of the vas deferens caused by genitourinary tract infections generally does not require surgery. Antimicrobial and physical treatments can control the inflammation, allowing the genitourinary tract to recover and become unobstructed.
2. Vasoepididymostomy: If the obstruction is in the vas deferens, the obstructed segment can be resected, followed by end-to-end anastomosis of the vas deferens. For urethral trauma-induced urethral stricture or atresia, urethral meatoplasty or urethroplasty can be performed. In cases of vas deferens dysplasia or absence, artificial seminal vesicles can be used to collect sperm from the epididymis, followed by artificial insemination to address fertility issues.

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