Treatment for obstructive azoospermia includes general treatment, medication, and surgery, such as microscopic seminal tract reconstruction surgery with antibacterial medication.
If the patient has obstruction of the epididymis or vas deferens, microspermatocele reconstruction surgery can be performed to locate the site of obstruction, then remove the obstructed segment and reanastomize the remaining part. This is a less invasive procedure, usually involving a 3-centimeter incision in the scrotum, and recovery is quicker, with a recanalization rate of 70% to 95%.
Antibacterial drugs, such as ceftriaxone sodium and amoxicillin, should also be used as prescribed after surgery. At the same time, quit smoking and drinking, pay attention to exercise, enhance physical fitness and improve sperm quality.
Obstructive azoospermia includes intratesticular obstruction, epididymal obstruction, tubal obstruction, ejaculatory duct obstruction as well as functional obstruction at the distal end of the seminal tract. Once a patient has obstructive azoospermia, he should cooperate with the doctor for treatment as soon as possible after the type of obstruction is clarified.