Patient's question:
Doctor, hello, I am from Shanxi. I got married to my husband less than a year ago. I really want to have a baby, and I love children very much. I don't know what to do. The day before yesterday, I had a check-up and found that I have blocked vas deferens. What should I do?Doctor's answer:
Hello: For the treatment of vas deferens obstruction, surgical treatment is primarily used, including vasoepididymostomy, epididymovasostomy, and transurethral seminal vesiculotomy. Seminal vesicle obstruction requires transurethral seminal vesiculotomy for treatment. Obstruction at the epididymal end of the vas deferens can be treated with epididymovasostomy. For obstructions at other locations of the vas deferens, vasoepididymostomy should be performed. The success rate of the anastomosis varies greatly depending on the factors or causes of the obstruction. Based on the factors or causes of the obstruction, there are cases of blockage due to inflammation, iatrogenic causes such as injury to the vas deferens during inguinal hernia surgery or cryptorchidism surgery, and cases where men seek reversal after vasectomy. If the obstruction is caused by tuberculosis or severe inflammation, resulting in a long segmental obstruction or complete obstruction of the vas deferens, it is not suitable for vas deferens anastomosis. The specific need for this surgery should be determined based on the results of vasography. The success rate of vasectomy reversal is higher than that of reversing vas deferens obstruction caused by traumatic factors.