WHAT SURGICAL OPTIONS ARE AVAILABLE FOR AZOOSPERMIA TREATMENT

What surgical options are available for azoospermia treatment

What surgical options are available for azoospermia treatment

Blog Article

Azoospermia Treatment is a condition in which no sperm are present in the semen, making natural conception impossible. However, modern medical advancements offer several surgical treatments to help men with azoospermia father children. The success of these procedures depends on the cause of azoospermia, whether obstructive or non-obstructive.

Surgical Treatments for Azoospermia

1. Microsurgical Vasovasostomy (Vasectomy Reversal)

  • This procedure is performed on men who have undergone a vasectomy or have a blockage in the vas deferens.
  • The blocked or cut vas deferens is reconnected to restore sperm flow.
  • Success rates range from 70% to 90%, depending on the duration since the vasectomy.

2. Vasoepididymostomy

  • Used when there is a blockage in the epididymis (a tube that stores and transports sperm).
  • The surgeon bypasses the blockage by connecting the vas deferens directly to the epididymis.
  • This procedure is more complex than a vasovasostomy but has a success rate of 50% to 80%.

3. Testicular Sperm Extraction (TESE)

  • A minor surgical procedure where a small piece of testicular tissue is removed to extract sperm.
  • Used in cases of non-obstructive azoospermia when sperm are produced but not present in the semen.
  • The extracted sperm can be used for ICSI (Intracytoplasmic Sperm Injection) in IVF.

4. Microdissection Testicular Sperm Extraction (Micro-TESE)

  • A more advanced version of TESE that uses a high-powered microscope to locate sperm-producing areas in the testicles.
  • Has a higher sperm retrieval success rate of 30% to 60%, even in men with very low sperm production.
  • Reduces damage to testicular tissue compared to traditional TESE.

5. Percutaneous Epididymal Sperm Aspiration (PESA)

  • A needle is inserted into the epididymis to extract sperm without making an incision.
  • Performed under local anesthesia and is less invasive than other surgical sperm retrieval methods.
  • Commonly used in men with obstructive azoospermia.

6. Testicular Epididymal Sperm Aspiration (TESA)

  • Similar to PESA, but sperm is directly extracted from the testicles using a fine needle.
  • Suitable for both obstructive and non-obstructive azoospermia.
  • Less effective than Micro-TESE but useful for specific cases.

Choosing the Right Surgical Option

The choice of surgical treatment depends on:
Type of azoospermia (obstructive or non-obstructive).
Cause of the blockage or sperm production issue.
Presence of sperm in testicular tissue.
Couple’s fertility goals and available treatments like ICSI.

Conclusion:

Surgical treatments for azoospermia have given hope to many men struggling with infertility. With techniques like vasectomy reversal, TESE, and Micro-TESE, sperm retrieval is possible even in severe cases. Consulting a fertility specialist is the best way to determine the most suitable option for achieving biological parenthood.

For More Details: https://acimc.org/ivf-lahore/

Report this page