Tuesday, 29 May 2018

What is an Obstructive Azoospermia? Its Causes and Treatments

Obstructive azoospermia represents “No Sperm” in a man’s semen. This condition is caused by the blockage or obstruction in sperm delivery. Obstructive azoospermia is found around 40% azoospermia cases. It is being the major cause of infertility in men.
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Causes of Obstructive azoospermia

Vasectomy: Obstructive azoospermia commonly results from previous vasectomy and other causes. This surgical procedure stops the sperm flow from the sperm ducts.

Tubal blockage: Obstructive azoospermia may result from a blockage in any tube that leads from the testicle to the opening tip of the penis such as Vas Deferens, Ejaculatory duct, and Epididymis. Vas deferens obstruction is commonly caused by vasectomy.

Infection: Severe urinary infection, genital infection, injury during inguinal or scrotal surgery, venereal diseases such as Chlamydia, prostatitis which could cause a blockage in small tubules of Epididymis or ejaculatory ducts.

Congenital anomalies: Some men are born with missing vas deferens, a genetic problem similar to a vasectomy. Other men are born with a prostate cyst that blocks the ejaculatory ducts.

Surgical Complications: Hernia repair or urogenital surgeries can result in scarring that would lead to a blockage.

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Obstructive azoospermia diagnosis

The diagnosis includes
  • Patient’s medical history
  • Surgeries or injuries in the pelvic area
  • Exposure to chemo or radiation therapy
  • A family history of birth defects like the reproductive failure or cystic fibrosis
  • Sexually transmitted disease
During the physical examination, the following will be checked
  • Presence of vas deferens
  • Presence of Varicocele
  • Contents of scrotum and penis
  • The overall maturation of the reproductive organs
Laboratory tests such as
  • X-rays/ultrasound of reproductive organs
  • Measuring Testosterone, Follicle stimulating hormone
  • Transrectal ultrasound

Obstructive azoospermia Treatment

Men who suffer from obstructive azoospermia need a surgical intervention to clear the obstruction so as to make the pregnancy naturally.
  • For Epididymal obstruction, Vasoepididymostomy is performed
  • For ejaculatory duct obstruction, Transurethral Resection of the Ejaculatory duct (TURED) is suggested.

South Indian Institute for Urology and Transplant is the best Urology Hospital in Chennai for all kinds of urology and andrology diseases. They provides treatment for low sperm count in Tamilnadu.

contact us
Visit @ www.siiut.com
Mail us @ urologyhospital123@gmail.com

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