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TesticularTestisInflammationObstructionVasoepididymostomyBack of each testicleTesticles or epididymisDeferens is connectedPhysical blockagesIncision in the scrotal skinProcedureBypassTightly coiledVasovasostomyVasectomy reversalInfertilityTesticle where spermReversalEjaculatory ductSeminalScrotumEjaculateTubesUrethraAbnormalPreventsTubuleAzoospermiaMicroscopeSurgicallyTraumaTestesCongenitalUrologistTubeStructuresBuildupSemenPESAAttachesChlamydiaTissueNeedleFluidSurgeryResult

Testicular4

• Testicular cysts are commonly caused by blockage of the epididymis, the tube that connects the testicle to the vas deferens. (myallamericanhospice.com)
• This can be necessary if there is a blockage close to the testicular end of the vas deferens. (vasectomyreversal.net)
• The other option is to extract a small amount of tissue from the testes or epididymis, referred as testicular sperm extraction (TESE) and microsurgical epididymal sperm extraction (MESA) respectively. (premiermedicalhv.com)
• At the Center for Men's Health at TUCC, we utilize two techniques for sperm retrieval: Microsurgical Epididymis Sperm Aspiration (MESA) and Testicular Sperm Extraction (TESE). (tucc.com)

Testis6

• After the findings from the vasal fluid are reviewed showing epididymal obstruction, the epididymis is exposed by opening the outer testis covering (tunica vaginalis). (wikipedia.org)
• Once the vas-deferens-epididymis connection is completed, the covering around the testis is replaced. (wikipedia.org)
• Another option is to bypass the blockage and remove sperm directly from the testis or epididymis and proceed with IVF. (bostonurology.com)
• The most prevalent causes of azoospermia, accounting for more than half of all instances, are obstructions in the vas deferens, epididymis, or ejaculatory ducts (these structures are involved in the transit of sperm from the testis to the outside). (doctoromarchughtai.com)
• During the procedure an incision is made in the scrotal skin and the testis and epididymis are exposed. (tucc.com)
• Men with low sperm count or a blockage in their reproductive tract can undergo MESA surgical sperm retrieval, a fertility treatment that involves collecting sperm from the epididymis and testis. (v-ivf.com)

Inflammation7

• Generally, inflammation occurs in the epididymis. (ayurvedapc.blog)
• This blockage can be caused by an infection, inflammation, trauma, or even a birth defect. (myallamericanhospice.com)
• Some men may also choose to undergo the procedure to alleviate symptoms of Post-Vasectomy Pain Syndrome, which results from inflammation or a buildup of pressure in the epididymis. (vasectomyreversalflorida.com)
• The most common cause of inflammation of the pathways and blockages are untreated bacterial infections (such as chlamydia and gonorrhea) and developmental defects. (orchidcrew.com)
• These include inflammation of the epididymis (inflammation of the epididymis) or testicles (orchitis) and some sexually transmitted diseases, including gonorrhea or HIV. (axepharmacy.com)
• In some cases, swelling and inflammation of epididymis can happen due to the flow of urine. (metromaleclinic.com)
• Instead of getting out through the urethra, if the urine flows into the tubes carrying semen (out of the body), it can reach epididymis and result in inflammation). (metromaleclinic.com)

Obstruction5

• Ejaculatory Duct Obstruction (EDO) is a condition where ejaculatory ducts have a blockage and prevent proper dispersion of sperms. (novaivffertility.com)
• Diseases such as epididymitis and prostatitis or seminal vesiculitis, or tuberculosis of the epididymis and vas deferens can cause obstruction of the vas deferens, and the common one is the junction of the epididymis and the vas deferens. (tengsusg.com)
• Bypassing both blockages, the vas deferens is surgically connected to a location on the epididymis above the obstruction. (premiermedicalhv.com)
• As its name suggests, obstructive azoospermia is caused by an obstruction or blockage within the vas deferens, the ejaculatory duct, or the epididymis. (larrylipshultz.com)
• This problem occurs because of a blockage in the male reproductive tract, an absent vas deferens (tubes that deliver sperm to the testes) or epididymal obstruction. (tucc.com)

Vasoepididymostomy6

• Vasoepididymostomy is the surgical connection of the vas deferens to the epididymis. (vasectomyreversal.net)
• Patients experiencing blockages that cannot be resolved through a vasovasostomy may find that a vasoepididymostomy is an effective way to reverse their previous procedures. (vasectomyreversalflorida.com)
• To perform a successful vasoepididymostomy, a surgeon will connect the vas deferens to the epididymis above those blockages, providing one clear pathway through which sperm can flow. (vasectomyreversalflorida.com)
• In these situations, a vasovasostomy would only relieve one of the blockages and, instead, a vasoepididymostomy, a more complex repair, is performed. (premiermedicalhv.com)
• Doctors prefer vasoepididymostomy when there is a blockage in the epididymis and other cases where a vasovasostomy would not be successful. (aasthafertility.com)
• Blockages can make vasectomy reversals more complicated, and the surgeon will likely decide to perform the more complicated of the two procedures, the vasoepididymostomy. (urophoenix.com)

Back of each testicle3

• This surgery attaches the vas deferens directly to the epididymis, the coiled tube on the back of each testicle where sperm matures. (wikipedia.org)
• MESA is a minimally invasive surgical procedure designed to retrieve sperm directly from the epididymis-a small, tightly coiled tube located at the back of each testicle. (aspirefertility.in)
• They leave the seminiferous tubules and are stored in the epididymis - long coiled tubes located on the back of each testicle. (orchidcrew.com)

Testicles or epididymis2

• Surgical sperm retrieval is a procedure to retrieve sperm directly from the testicles or epididymis for men with difficulty producing sperm or a blockage. (wupdoc.com)
• During the procedure, the doctor will make a small incision in the scrotum and use an ultrasound to identify the sperm-producing areas of the testicles or epididymis. (v-ivf.com)

Deferens is connected2

• The vas deferens is connected to the epididymis above the point of blockage. (wikipedia.org)
• In this procedure, the vas deferens is connected directly to the epididymis. (urophoenix.com)

Physical blockages2

• They are particularly useful when there are physical blockages preventing sperm from naturally reaching the ejaculate, or when there is a lack of sperm production in the testicles. (aspirefertility.in)
• Your urologist can identify physical blockages. (orchidcrew.com)

Incision in the scrotal skin2

• We make a 1/2-inch incision in the scrotal skin to isolate the epididymis. (inviafertility.com)
• During the MESA procedure, the organ located above the testicle where the sperm are stored (the epididymis) is isolated through a half-inch incision in the scrotal skin. (larrylipshultz.com)

Procedure6

• this is carried out when a blockage is noticed within the vas deferens that can prevent the unhindered motion of sperms even after the reversal procedure. (antiubb.com)
• If you desire to have a child with genetic material from both you and your partner, Dr. Green is able to microscopically remove sperm from the epididymis (the MESA procedure). (vasectomyreversal.net)
• In cases where infertility is due to a blockage in the epididymis, this microsurgical procedure can be performed. (novaivffertility.com)
• Skill of Surgeon and Technique: As the vas deferens is essentially a very small tube, reattaching the ends, or attaching it to the epididymis is a complicated and sometimes tricky procedure. (urophoenix.com)
• The procedure is typically used for men who have blockages in their reproductive system, have poor sperm production or quality, or have had a vasectomy. (v-ivf.com)
• The patient's condition and whether there are any blockages in their scrotum determine the type of procedure used to retrieve the sperm. (v-ivf.com)

Bypass3

• To do this, the surgeon has to find a way to bypass the blockage and connect the vas to a different area of the epididymis. (vasectomy.com)
• In such cases, doctors can do surgery to bypass the blocked epididymis. (aasthafertility.com)
• Many men undergoing sperm extraction may also be candidates for a reconstructive epididymovasostomy (connection of the vas deferens and epididymis to bypass a blockage). (tucc.com)

Tightly coiled1

• The epididymis is tightly coiled. (ivf1.com)

Vasovasostomy2

• It involves connection of the severed vas deferens to the epididymis and is more technically demanding than the vasovasostomy. (wikipedia.org)
• However, if other blockages exist in the reproductive system, the vasovasostomy will be ineffective. (vasectomyreversalflorida.com)

Vasectomy reversal1

• Whereas vasectomy creates a blockage that stops the sperm from shifting out of the epididymis, vasectomy reversal does the precise opposite. (antiubb.com)

Infertility3

• Around one in three cases of male infertility are caused by blockages or absence of tubes which prevent sperm passage. (nairobiivf.com)
• Houston male infertility specialist Larry Lipshultz then uses an operating microscope to locate and examine an epididymis tubule to see whether it contains sperm. (larrylipshultz.com)
• Causes of male infertility include abnormal sperm production or function, blockage of the epididymis, blockage of the ejaculatory ducts, hypospadias, exposure to pesticides, and health related issues. (nih.gov)

Testicle where sperm1

• One such blockage spot can be in the epididymis, the coiled tube that lies against the testicle where sperm cells mature. (aasthafertility.com)

Reversal2

• In the case of vasectomy (male sterilization), antibodies which weaken or disable sperm after the surgical blockage of the vans deferens is performed and can make reversal of a vasectomy difficult. (gettingpregnant.co.uk)
• Long intervals between vasectomy and reversal can lead to higher chances of blockage, reducing the likelihood of successful sperm flow. (ezvasectomy.com)

Ejaculatory duct1

• To ensure there's no blockage that prevents sperm from traveling to the ejaculatory duct, all scar tissue is removed, then the fluid is extracted from the vas deferens and analyzed to see if it contains sperm. (vasectomy.com)

Seminal2

• Both epididymis seminal cyst and hydrocele surgery can damage the epididymis. (tengsusg.com)
• The mesonephric duct ultimately forms the epididymis, ductus deferens, seminal vesicles, and ejaculatory ducts by way of the mesonephric ductal system. (medscape.com)

Scrotum2

• Ultrasound of the scrotum, also known as scrotal ultrasound, is a diagnostic imaging technique that uses high-frequency sound waves to create detailed images of the scrotum and its contents, including the testicles, epididymis, and surrounding structures. (cadabamsdiagnostics.com)
• Epididymis' sudden pain, enlargement, pain spreads to the groin on the same side or lower abdomen, may be turned into chronic epididymitis, patients may feel a sense of the scrotum fall, and occasionally pain. (99eyao.com)

Ejaculate3

• When there is a blockage that prevents sperm from reaching the ejaculate, such as in the case of a vasectomy. (aspirefertility.in)
• It is often advised when there is a blockage preventing sperm from reaching the ejaculate. (aspirefertility.in)
• In men, the duct system (the vas deferens or epididymis) may prevent sperm from reaching the ejaculate. (nairobiivf.com)

Tubes3

• Occlusion is the medical term for a 'blockage' or absence of tubes. (nairobiivf.com)
• If a blockage is causing your azoospermia, surgery to unblock blocked tubes or rebuild and link aberrant or never formed lines is an option. (doctoromarchughtai.com)
• Blockage can occur at any level, including within the testicle, in the tubes that drain the testicle, in the epididymis, in the vas deferens, near the ejaculatory ducts or in the urethra. (rajeevclinic.com)

Urethra3

• Lifting of weights in wrong way, blockage of urethra, enlarged or infected prostate gland, injury to the groin can result in such scenario. (metromaleclinic.com)
• STDs first infect the urethra and the infection slowly travels to the epididymis region. (metromaleclinic.com)
• This can happen due to the blockage of urethra or Urinary Tract Infection that finds its way to the testicles or due to the torsion or twisting of the epididymis. (metromaleclinic.com)

Abnormal3

• Spermatocele is the abnormal sac developed in the epididymis. (ayurvedapc.blog)
• In some cases, cysts may form spontaneously due to abnormal development of the epididymis. (myallamericanhospice.com)
• This can be due to low sperm production, blockages or production of abnormal sperms. (novaivffertility.com)

Prevents1

• In some men, however, a blocked epididymis prevents sperm from entering the vas deferens. (vasectomy.com)

Tubule2

• The epididymis is inspected and an individual tubule is selected to enter and connect to the vas deferens. (wikipedia.org)
• The epididymis tubule is opened, and the fluid is collected. (larrylipshultz.com)

Azoospermia1

• In an Obstructive type of azoospermia, there is a blockage or missing connection in the epididymis, vas deferens, or elsewhere along your reproductive tract. (zivafertility.com)

Microscope2

• A microscope is used to examine the tubules of the epididymis that contain the sperm. (inviafertility.com)
• A microscope will either reconnect the vas deferens ends, or connect the vas deferens to the epididymis tube. (urophoenix.com)

Surgically1

• Men who have a blockage, such as after a vasectomy, may have it surgically reversed. (bostonurology.com)

Trauma2

• This can only be done in cases where the patient has no history of infections in the past, unexplained blockages or trauma. (novaivffertility.com)
• Trauma or injury to the vas deferens, epididymis, or ejaculatory ducts. (doctoromarchughtai.com)

Testes1

• Epididymis, a small tube that sits on top of the testes. (medlineplus.gov)

Congenital2

• Micro Epididymal Sperm Aspiration (MESA) - A way of obtaining sperm from men with a reproductive tract blockage (i.e., after a vasectomy or congenital absence of the vas deferens). (inviafertility.com)
• Congenital hypoplasia of the epididymis and congenital hypoplasia of the vas deferens, or the absence of it. (tengsusg.com)

Urologist1

• This is best when the urologist cannot find the sperm, because it usually means there is a blockage in the epididymis tube. (urophoenix.com)

Tube6

• Eventually, all of the tubules will have merged into one main, large tube called the epididymis. (ivf1.com)
• They are pushed through the epididymis by contraction in the muscle in the wall of the tube. (ivf1.com)
• From the epididymis, the now mature sperm move into a tube called the vas deferens. (ivf1.com)
• The epididymis is the tube at the back of the testicle that stores and carries sperm. (ayurvedapc.blog)
• MESA is used to retrieve sperm from the epididymis, which is a tube located on the back of the testicles. (v-ivf.com)
• Epididymis is a tube located at the back of testicles that stores and carries the sperm to the vas deferens. (metromaleclinic.com)

Structures1

• Ultrasound is also used to detect other potential problems such as blockages or cysts of the structures that produce or transport semen. (bostonurology.com)

Buildup3

• One factor that complicates reversing a vasectomy is the buildup of pressure in the epididymis, blocking sperm. (vasectomyreversalflorida.com)
• This buildup and blockage must be dealt with and bypassed in order to undo the effects of the vasectomy. (vasectomyreversalflorida.com)
• When a vasectomy is performed, it may lead to a buildup of pressure that will cause blockages and blowouts in the epididymis. (vasectomyreversalflorida.com)

Semen2

• Blockages of the epididymis - that part of the testicle which contains the sperm - or blockages in the ejaculatory ducts will prohibit the flow of semen into the vagina. (gettingpregnant.co.uk)
• Furthermore, sperm must move from the testicles to mix with semen in the epididymis for ejaculation through an erect penis. (healthwebmagazine.com)

PESA2

• Percutaneous Epididymal Sperm Aspiration (PESA) - A needle is placed into the epididymis where a pocket of sperm will be found and aspirated. (inviafertility.com)
• PESA involves the extraction of sperm directly from the epididymis, a structure located near the testicles. (aspirefertility.in)

Attaches1

• The epididymis is a delicate duct that attaches to a testicle and serves as a conduit for sperm. (vasectomyreversalflorida.com)

Chlamydia1

• If the symptoms of Gonorrhea or the symptoms of Chlamydia are ignored, the infection can get to the epididymis resulting in swelling and redness of the epididymis and/or testicles. (metromaleclinic.com)

Tissue1

• A skilled surgeon will work on the delicate epididymis tissue and carefully connect it to the vas deferens. (vasectomyreversalflorida.com)

Needle1

• A small needle is then used to suction the sperm out from the epididymis. (v-ivf.com)

Fluid1

• If no sperm is identified and the fluid is thick and pasty, it signifies a second blockage closer to the testicle, at the level of the epididymis. (premiermedicalhv.com)

Surgery1

• In cases where the condition is caused due to sperm antibodies which are caused by vasectomy or injury in the epididymis, a surgery is used to remedy the problem. (novaivffertility.com)

Result1

• if there are no other blockages, this operation should result in a restoration of the man's reproductive capacity. (vasectomyreversalflorida.com)