|Discussion in 'All Categories' started by m Ilyas - May 9th, 2011 12:23 am.|
|sir,m azoospernia 0 sperm and leftside testic
vericoler so doctor acvise me that you should
re: azoospernia by Dr Sadhana - May 9th, 2011 9:32 am
|Dear Mr Ilyas
Your Azoospermia is due to varicocele so you should get laparoscopic varicocelectomy. You will find only 2 possible reasons for the sperm count being zero i.e. azoospermia. The first is because of a blockage from the ducts which carry the sperm from the testes towards the penis. This is called obstructive azoospermia, because it is a direct result a block in the reproductive ducts. The other is due to testicular failure, where the testes don't produce sperm. This is called non-obstructive azoospermia. Men with obstructive azoospermia have normal testes which produce sperm normally, but whose passageway is blocked. This is usually a block in the degree of the epididymis, as well as in these men the semen volume is normal; fructose is present; the pH is alkaline; and no sperm precursor cells are noticed on semen analysis. On clinical examination, they typically have normal sized firm testes, however the epididymis is full and turgid. Some men have obstructive azoospermia because of an absent vas deferens. Their ejaculation volume is low ( 0.5 ml or less); the pH is acidic and also the fructose is negative. Diagnosing can be confirmed by clinical examination, which shows the vas is absent. If the vas could be felt during these men, then your diagnosis is a seminal vesicle obstruction.
Men with non-obstructive azoospermia have a normal passageway, but abnormal testicular function, and their testes do not produce sperm normally. Some of these men might have small testes on clinical examination. The testicular failure may be partial, which means that only a few regions of the testes produce sperm, but this sperm production isn't enough so that it is ejaculated. Other men might have complete testicular failure, which means there is no sperm production whatsoever within the entire testes. The only method to differentiate between complete and partial testicular failure is by doing multiple testicular micro-biopsies to sample different regions of the testes and send them for pathological examination. This method is called TESA, or testicular sperm aspiration also known as TESE, or testicular sperm extraction) or mTESE micro-testicular sperm extraction. You can watch a video of this simple technique here.
In your case you can get laparoscopic surgery done at our hospital.
re: azoospernia by Lavar - Jun 15th, 2011 8:11 am
|ThatÂs not just logic. ThatÂs really snesible.|
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