Male infertility is effectively treated at Wombs Fertility & Reproductive Health Clinic with various specialized surgeries such as Vaso epididymal anastomosis (VEA), Vasal reconstruction, Varicocele ligation, and Vasectomy reversal under optical magnification.
For some couples, it is difficult to achieve pregnancy even though they’ve had frequent intercourse without using contraception for 1 year or longer. About 1/3 of infertility cases are due to male reproductive issues. Male fertility generally depends on the quality and the amount of sperm production. It will be difficult to conceive a child if the number of sperm ejaculated is low, or the quality of the sperm is poor. Hormone imbalance, obstructions preventing the sperm movement, genetic abnormalities, chronic health issues, injuries, lifestyle choices are some of the other factors that cause infertility in males.
Dr. Jagrati Laad has provided guidelines as to who can receive surgical treatments for male infertility -
The following are the surgical treatment options for male infertility:
Vaso Epididymal Anastomosis (VEA) is a microsurgical procedure for obstructive azoospermia due to blockage in the epididymis. It is a technically complicated microsurgical procedure for restoring fertility in men. During the surgery, the surgeon bypasses the block so that the sperm can travel to the penis. High surgical expertise and experience of the surgeon play a critical role in performing the procedure as it involves very fine and delicate tubes.
Vasal reconstruction is another effective treatment for infertility in men due to obstructive azoospermia.
A varicocele is an enlargement of the veins in the scrotum surrounding the testis. It is one of the most common causes of male infertility. The condition is similar to getting a varicose vein in your leg. When a varicocele develops in your scrotum, it can cause low sperm production and decreased sperm quality.
At Wombs Fertility & Reproductive Health Clinic, Varicocele Ligation/ Varicocelectomy is provided which is an effective treatment for varicoceles.
Varicoceles rarely produce signs or symptoms. But they do require serious attention for many reasons. Varicoceles might impair fertility, cause pain, and in the course of time get enlarged. It might also cause swelling mostly on the left side of the testicle.
A physical examination will be conducted by your doctor to check if you have varicoceles. These varicoceles can be found above your testicle which is described as a “bag of worms” because of their look and feel. The doctor often checks for varicoceles by asking the patient to be in a standing position. You may be asked to perform the Valsalva maneuver, a technique where you will be required to take a deep breath and hold it while you bear down. It lets your doctor detect any abnormally enlarged veins.
In case the physical examination result turns inconclusive, the doctor might order you to take a scrotal ultrasound test. Also, further testing might be recommended to identify other causes or symptoms of varicoceles.
Following are the different methods that can be performed to repair varicocele -
The conventional open surgery for varicocele repair is performed under general or local anesthesia. In this method, different incisions can be made to expose the spermatic vessels at various levels using either the inguinal or subinguinal approach. Compared to other surgical methods, open surgery using a microscope and subinguinal approach is less painful with little tissue damage.
This procedure is performed under general anesthesia. In this method, the surgeon inserts a tiny instrument in the abdomen and performs vein ligation. The procedure is shorter and takes 1-2 hours as the veins to be ligated are fewer in number.
This procedure is performed by a radiologist. A tube is inserted into a vein in the groin or neck that allows the instruments to pass through. The doctor then releases coils, plugs, or a solution to block the blood flow that scars down the varicoceles. The embolization method often takes around 45 minutes to 1 hour.
The following risks are associated with varicocele ligation:
Recovery from varicocele ligation can take around 3-6 weeks for open surgery, 2-4 weeks for laparoscopic surgery, and 1-2 days for percutaneous embolization. In most cases, you can return to your work within a few days.
Vasectomy reversal is performed to re-approximate the cut ends of the vas deferens to restore the flow of sperm from the testicles to the prostate. It is a reconstructive surgery that consists of two techniques - vasovasostomy and vasoepididymostomy. After examining the fluid sample taken from the testicular end of the vas, the surgeon will make the decision on which reversal technique will be performed.
Dr. Jagrati Laad MD is an accomplished Obstetrician and Gynecologist specialist in Infertility Treatment. She has a Master's Degree in Medicine from SSG Hospital and Government Medical College Vadodara and is certified in Ultrasonography by FOGSI (The Federation of Obstetric and Gynecological Societies of India). Her Fellowship in Infertility from the reputed Nadkarni Hospital and Test Tube Baby Centre, Vapi, Gujarat has given her hands-on experience in assisting couples with infertility issues. Dr. Laad is passionate about Infertility treatment, management of High-Risk Pregnancies, Hysteroscopy, Antenatal Care, Laparoscopic Surgery, Adolescence Gynecology, Family Planning, and Cancer Detection and Treatment. Her expertise and dedication to her specialty have enabled her to expand the horizons of her field.
Book Consultation
The aim of this website is to provide some clarity on the various complicated issues that arise when it comes to medical conditions. It's not meant to replace an actual consultation with a doctor but merely act as a starting point for your own research.
