Surgical treatment of male infertility

The hospital's surgical interventions are covered by a loyalty program, which makes treatment even more affordable.

Male infertility is not an independent disease, but a consequence of pathological changes in the body. It may be associated with disorders of spermatogenesis (formation and maturation of sperm) or patency of the vas deferens. In some cases, drug therapy is necessary, while in others, a small operation and/or the use of assisted reproductive technologies is required: surgical sperm collection, IVF using the ICSI method, etc. Since 2012, when the department of reproductive medicine opened, they have helped more than 1,000 men become fathers.

Oxford Medical has a modern department of reproductive medicine, where you can undergo an examination using expert-class equipment and receive the necessary medical care, as well as undergo IVF. The clinic employs experienced urologists, surgeons, reproductive specialists, and embryologists.

For the initial diagnosis of male infertility, it is enough to conduct a spermogram. Take the first step towards your dream of fatherhood - make an appointment for a consultation with a specialist at a time convenient for you.

Male infertility is classified according to various criteria.

The main types are primary infertility (when the man has never fathered a child) and secondary infertility (if the partner has already been pregnant in the past).

There are also secretory forms (associated with impaired sperm production) and obstructive forms (associated with impaired patency of the vas deferens).

This classification of male infertility helps the doctor choose the most effective treatment tactics.

Infertility has no specific symptoms, so a man is advised to consult a doctor if:

1. The wife does not become pregnant after 12 months of regular sexual intercourse.
2. There are complaints of erectile dysfunction, pain during intercourse or ejaculation, pain during urination, change in the size of the scrotum, enlargement of the mammary glands, etc.

Diagnosis of infertility in men begins with a spermogram - a semen analysis that allows you to assess the volume and viscosity of the ejaculate, the number of sperm contained in it, their morphological features, activity, etc.

If more than two parameters do not meet the norm, the man is prescribed additional examinations:

• analysis of urogenital secretions for microflora;
• blood tests;
• ultrasound of the pelvic organs and scrotum;
• determination of the karyotype;
• genetic testing;
• immunological testing.

Which examinations are necessary and will be the most informative, the specialist determines individually, taking into account the medical history and the results of the already performed diagnostics.

Surgical treatment may be required for varicocele, hydrocele, neoplasms, anomalies of the reproductive system and some other pathologies. The operation is prescribed when drug treatment is ineffective or inappropriate.

At Oxford Medical, operations are performed mainly using minimally invasive methods. They allow minimizing damage to healthy tissues, reducing the duration of hospitalization to 1-3 days, and rehabilitation to several weeks.

In case of azoospermia, surgical sperm collection is performed with subsequent IVF. Depending on the indications, epididymal biopsy (PESA), testicular biopsy (TESA) or microsurgical operations (TESE, Micro-TESE, MESE) are performed.

Testicular and epididymal punctures are minimally invasive procedures performed under local anesthesia. Procedures such as TESE, Micro-TESE and MESE require a small incision, so general anesthesia may be used for pain relief.

In most cases, the man can leave the clinic within a few hours of the procedure.

From the surgically obtained sperm, the surgeons select the best quality and use them for IVF. Some of the sperm can be cryopreserved for subsequent cycles or for the birth of a second child in the future.

«Oxford Medical» has assembled a team of experienced reproductologists and surgeons, and has also installed new high-precision equipment. Thanks to this, the clinic allows you to undergo a comprehensive examination and treatment of infertility using surgical techniques and innovative assisted reproductive technologies.

You can find out the cost of male infertility treatment at «Oxford Medical» here. But only a doctor can give you a more accurate price estimate after confirming the diagnosis. Infertility is treated in a variety of ways, from drug therapy to surgery and the use of assisted reproductive technologies.

Make an appointment with a reproductive specialist at a time convenient for you. The specialist will conduct an examination, prescribe tests if necessary, and answer all questions about treatment options.