Microscopic Vasoepididymostomy

Microscopic Vasoepididymostomy (VEA) is a surgical procedure used to treat male infertility caused by an obstruction in the epididymis, which is the small duct that carries sperm from the testes to the vas deferens. The procedure involves reestablishing the connection between the vas deferens and the epididymis to allow for the flow of sperm.

VEA is used to treat obstructive azoospermia, a condition in which there is a blockage in the epididymis that prevents the flow of sperm. This can be caused by a previous vasectomy, infection, or congenital abnormalities. In cases where there is a complete blockage, microsurgical vasoepididymostomy is the preferred treatment option. The procedure is performed under general anaesthesia and involves making a small incision in the scrotum to access the epididymis. Using high-powered surgical microscopes and specialised instruments, the surgeon locates the blocked portion of the epididymis and carefully removes it. The vas deferens is then dissected and an opening is made in the tubule. A microscope is used to carefully suture the vas deferens to the epididymis, creating a new opening for sperm to flow through. The incision is then closed and the patient is monitored during recovery.

The success of VEA depends on several factors, including the location and extent of the blockage, the skill of the surgeon, and the age and overall health of the patient. In cases where there is a complete blockage, the success rates can be lower compared to those with partial blockage. However, with an experienced surgeon, the success rate can be as high as 90%, allowing couples to achieve pregnancy naturally or through assisted reproductive technologies such as in vitro fertilisation (IVF).After the procedure, patients may experience some discomfort and swelling in the scrotum. Pain medication and cold packs can help alleviate these symptoms. Patients are typically able to return to work and regular activities within a few days of the procedure, but it is recommended to avoid strenuous activity and sexual intercourse for several weeks to allow the tissues to heal. Follow-up appointments with the surgeon and a fertility specialist are important to monitor the success of the procedure and ensure optimal chances of conception.

Microscopic Vasoepididymostomy is a safe and effective surgical procedure used to treat male infertility caused by a blockage in the epididymis. With high success rates and minimal recovery time, the procedure offers hope for men who want to start or expand their families. If you are experiencing male infertility due to an obstructed epididymis, consult with a fertility specialist to determine if microscopic vasoepididymostomy is the right option for you.