TOP Doctors for Blockage of Sperm Transport
Request for further information about Blockage of Sperm Transport
using our Whatsapp and Viber number.
+49 176 738 762 53
Our goal is to contact you within a business day to review your medical and financial information.
Treatments include medications that relieve inflammation of the male reproductive tract or the urinary tract, or the administration of special hormones after careful evaluation. If other diseases are the cause of the disorder of semen production, they must be treated in a targeted manner. Surgery may be considered in cases of blockage of the transport of semen, abnormal testicular conditions and removal of sperm from the testes or epididymis for "artificial insemination", etc. General and special sexual counseling of men and women is supplemented.
A special field of medicine, the andrology, deals specifically with the diseases of the man, as well as with his infertility (infertility).
Sperm motility score should be studied in the laboratory, equipped with modern magnification equipment. The normal motility score represents the percentage of sperms which actively move into the forward direction.
Patients with partial obstruction (blockage) may have mild or no symptoms. Nevertheless it is important to perform the timely diagnostics of this condition, since it leads to infertility and other health problems, such as
- Painful ejaculation
- Chronical perineal pain
- Retrograte ejaculation
- Urinary sphincter disorder
During a physiological palpation procedure, an experienced urology or andrology specialist can find post-operative scars, seals, bands, areas of thickening or cyst. In case some dubious areas are identified, a special transrectal ultrasound procedure is performed. It helps to diagnose the possible dilatation problem in epididymis and seminal vesicle. Among the other necessary diagnostic steps there are:
- Angiography - x-ray examination of the vas deferens;
- Studies of FSH and LH hormones in the blood. High levels of FSH suggests that the testicles do not produce sperm. In this case the restoration of patency of the vas deferens through a surgery is questionable.
- Testicular biopsy helps to determine the presence of sperm in the testis.
- These steps help not only to diagnose the blockage of sperm transport, but also to determine the root cause of the blockage of sperm transport.
“Microknife technique”: Surgical treatment of the obstruction (blockage) of ejaculatory ducts
Surgical management of the sperm transport blockage is the only way to restore fertility of a man. The surgery aimed at unblocking the sperm transport should be performed by an experienced microsurgery specialist, who will clear up the blockage under 10x25 power magnification. A special “Microknife” technology is usually implemented at German clinics to hemitransect the vas until the lumen is revealed. This kind of treatment is performed under general anesthesia and lasts about 25-50 minutes. After the surgical elimination of the blockage, the fertility function is restored in 70% of all cases. If the azoospermia still persists and a man still has low sperm count, the treatment with one of the assisted reproductive technique is indicated.
If the surgery didn’t help...
If the permeability of the seminal ducts is unrecoverable or microsurgical operation is contraindicated due to anatomical features, a man can apply to direct microsurgical aspiration of sperm from the epididymis (TESA) or extraction of sperm from the testicle (MESA), combined with artificial insemination (ICSI intracytoplasmic sperm injection). The spermatozoa aspirated from epididymis or testicles can be frozen (cryopreserved), to allow a second ICSI procedure, if another pregnancy is planned in the future.
Being a patient at one of the best German fertility centers, you can expect the highest level of urological service as well as individual and holistic approach. Don’t hesitate to call us for more information.