How is it better to treat vas deferens obstruction?

Patient's question:

I am thirty years old this year, married, and have no children. I enjoy exercising and am quite healthy. Our sex life is also okay, but for the past two years since we got married, my wife hasn't been able to get pregnant. Every time we have sex, I have difficulty climaxing. My wife also complains about not being able to conceive. Both our parents are urging us, and even the neighbors have some idle talk about it. We both feel a lot of pressure.

Doctor's answer:

Hello, common treatments for obstructed vas deferens include anti-infection. Due to inflammation caused by genital tract infections, swelling of the vas deferens orifice generally does not require surgery. Anti-infection and physical therapy can control the inflammation, and swelling subsides, allowing the genital tract to recover its patency.
2. Vas deferens anastomosis surgery: If the obstruction is in the vas deferens, the obstructed segment can be removed, and an end-to-end anastomosis of the vas deferens can be performed.

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