Post Date December, 03 2023
I believe we all have a certain understanding of vas deferens blockage disease, and if this disease is severe, it can also cause male infertility. Therefore, male friends who suffer from the disease of blocked vas deferens should receive reasonable treatment and seek their own cause according to the doctor's advice.
1、 Treatment of blocked vas deferens:
1. Anti infection: Ejaculatory duct edema caused by reproductive tract infections generally does not require surgery. Through anti infection and physical therapy, inflammation and edema can be controlled and the reproductive tract can be restored to patency. However, it should be noted that this situation is only effective during acute inflammation. But when it is found that the blocked vas deferens is often a sequelae of inflammation, it is too late and ineffective to undergo anti-inflammatory treatment.
2. Vasostomy: If blockage occurs in the vas deferens, it is feasible to remove the obstructed segment and perform end-to-end anastomosis of the vas deferens
2. Artificial seminal vesicles: For those with underdeveloped or absent vas deferens, artificial seminal vesicles can be used to collect sperm in the epididymis and undergo artificial fertilization to solve fertility problems, but there is basically no therapeutic effect.
3. Vaso epididymostomy: Vaso epididymostomy is feasible for lesions located in the tail of the epididymis, but the therapeutic effect is extremely poor.
4. Tumor excision surgery: Surgical removal of prostate tumors or cysts in the spermatic vesicle is feasible
5. Artificial insemination treatment between spouses for semen collection through puncture of the vas deferens pipeline.
2、 Manifestations of blocked vas deferens:
Blockage of the vas deferens can cause obstructive azoospermia, also known as pseudoazoospermia in clinical practice. Its clinical manifestations and characteristics are:
1. Abnormal palpation of the epididymis or vas deferens;
2. The morphology of the testicles is normal or slightly reduced, and the texture is basically normal;
3. No sperm or low sperm count in semen; 4. The blood FSH level is basically normal or slightly elevated.
3、 Common causes of blockage in the vas deferens pipeline:
1. Tumors: Tumors such as epididymis, seminal vesicle, and prostate can all cause obstruction of the vas deferens.
2. Injury: For example, hernia repair surgery, varicocele surgery, spermatic cord tumor surgery, etc. can damage the vas deferens; Surgery for epididymal seminal cysts and testicular hydrocele can damage the epididymis; Prostate surgery can cause obstruction of the ejaculatory duct opening; Although there is no direct injury, postoperative infection, adhesion, scar formation, etc. can cause compression and blockage of the vas deferens pipeline.
3. Infections of the urinary and reproductive systems, such as epididymitis, prostatitis, seminal vesiculitis, or epididymal vas deferens tuberculosis, can cause obstruction of the vas deferens, with the connection between the epididymis and the vas deferens being more common. 4. Congenital malformations: such as the absence of the head, body, and tail segments of the epididymis, partial or complete absence of the vas deferens, disconnection between the vas deferens and the epididymis, and underdeveloped epididymis, vas deferens, or seminal vesicles.
