Male infertility

Varicocele

• It is a condition characterized by dilation of venous channels draining the testes due to backflow of blood
• Patients may have dragging pain in the scrotum and groin regions on either one side or both sides or can be asymptomatic
• Detected by clinical examination and ultrasound scan of scrotum

Surgical treatment options

• Sub-inguinal microscopic varicocelectomy
• Laparoscopic varicocelectomy

Obstruction of ejaculatory ducts

• It is another condition causing male infertility
• Detected by absence of fructose in semen analysis and confirmed by transrectal ultrasound of prostate and seminal vesicles.

Surgical treatment (TURED) – Resectoscope introduced through urethra and electrically heated wire is used to cut over the tissue or prostatic utricle cyst in order to relieve the obstruction.