Obstructive azoospermia is the more common form of azoospermia and can now be treated by surgical reopening of the vas deferens or in vitro fertilization to achieve the goal of fertility. Both types of treatment have their own advantages and disadvantages. For your convenience, the following table is provided for your reference.
Comparison of items/treatment modalities
Epididymal-vas deferens anastomosis
Second Generation IVF
Person undergoing treatment
Male partner
Testicular puncture for sperm retrieval in male partner and colposcopic egg retrieval in female partner
Treatment cost
6000-9000 RMB
(including all costs for hospitalization, surgery, treatment and medication)
25,000-30,000 RMB per cycle (for the entirety of one treatment) If the treatment is unsuccessful, the above amount will still be required for the next cycle
Treatment success rate
60-70% (presence of live sperm in semen), cumulative fertility rate higher than second generation IVF
Fertility rate of up to 34%/cycle
Natural fertility
Yes
No, an artificially assisted technique with higher risk of genetic disease and birth abnormalities than natural childbirth
Risks of treatment
Possible complications of scrotal surgery without testicular injury
Greater testicular damage.
Complications of ovarian hyperstimulation, colposcopy
Treatment time
Only about 1 week of hospitalization for the male partner
Both partners involved, about 2-3 weeks