Patient's question:
Epididymitis, stomach pain.Doctor's answer:
Common causes of obstruction in the male reproductive tract include the following:1) Urinary and reproductive system infections: such as epididymitis, prostatitis, seminal vesiculitis, or epididymal tuberculosis, which can cause obstruction of the reproductive tract, with the connection between the epididymis and the being more common.
2) Injuries: such as hernia repair surgery, varicocele, or surgical treatment of spermatic cord tumors can damage the; surgical treatment of epididymal spermatocele or hydrocele can damage the epididymis; prostate surgery can cause obstruction of the ejaculatory duct; or even without direct injury, postoperative infection, adhesion, and scar formation can compress and obstruct the reproductive tract.
3) Tumors: such as epididymal tumors, seminal vesicle tumors, or prostate tumors, can all cause obstruction of the reproductive tract.
4) Congenital malformations: such as absence of the head, body, or tail of the epididymis, partial or complete absence of the, non-connection between the and the epididymis, or underdevelopment of the epididymis,, or seminal vesicle.
Recommendations:
1. Anti-infection: Edema of the ejaculatory duct caused by reproductive tract infections generally does not require surgery. Anti-infection and physical therapy can control the inflammation and edema, allowing the reproductive tract to recover its patency.
2. anastomosis: If the obstruction is in the , the obstructed segment can be removed, and end-to-end anastomosis can be performed.
3. -epididymis anastomosis: If the disease is in the tail of the epididymis, -epididymis anastomosis can be performed.
4. Tumor resection: Spermatic cord, seminal vesicle, or prostate tumors or cysts can be surgically removed.
5. Internal urethral orifice incision or urethral reconstruction: To treat urethral stricture or atresia caused by urethral trauma.
6. Artificial seminal vesicle: For individuals with underdeveloped or absent , an artificial seminal vesicle can be used to collect sperm from the epididymis, followed by artificial insemination to address fertility issues.