Vasoepididymostomy Treatment in India
About Vasoepididymostomy
Key Highlights
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Gold standard surgical treatment for obstructive azoospermia due to epididymal blockage.Performed using high-powered microscopes for precision (microsurgery).Offers a chance for natural conception without needing sperm extraction for IVF in many cases.Directly addresses the anatomical cause of the infertility.High success rates in experienced hands, with patency (open pathway) achieved in a significant majority of cases.
Who is this surgery for?
- Obstructive azoospermia confirmed to be due to a blockage in the epididymis.
- Failed or inappropriate vasectomy reversal where the epididymis is blocked.
- Congenital absence or blockage of the vas deferens (often associated with CBAVD).
- Post-infectious blockage from conditions like epididymitis.
- Traumatic injury to the scrotum or groin resulting in epididymal obstruction.
- Prior scrotal or inguinal surgery that led to an iatrogenic (surgery-caused) blockage.
How to prepare
- Comprehensive fertility evaluation, including semen analysis and hormone testing.
- Diagnostic tests like scrotal ultrasound and possibly a testicular biopsy to confirm obstructive azoospermia and assess sperm production.
- Detailed consultation with the urologist to discuss goals, success rates, and alternatives.
- Pre-operative blood tests and a physical examination.
- Discontinuation of blood-thinning medications (e.g., aspirin, ibuprofen) as advised by the doctor.
- Fasting for 8-12 hours before the surgery if general anesthesia is planned.
- Arranging for transportation home post-surgery and taking 1-2 weeks off work.
Risks & possible complications
- Bleeding or formation of a hematoma (blood clot) in the scrotum.
- Infection at the surgical site.
- Chronic scrotal or testicular pain.
- Recurrence of the blockage (failure of the anastomosis).
- Injury to nearby structures like nerves or blood vessels.
- Persistent swelling of the scrotum or epididymis.
- Risks associated with anesthesia.
- Despite a successful surgery, pregnancy may not occur due to other fertility factors.
Recovery & hospital stay
- Hospital discharge typically on the same day or after one night.
- Wearing a supportive scrotal garment (jockstrap) for 2-4 weeks to minimize swelling.
- Applying ice packs to the scrotal area for the first 48-72 hours to reduce swelling and pain.
- Prescription of pain medication and possibly antibiotics.
- Avoiding heavy lifting, strenuous exercise, and sexual activity for 2-4 weeks.
- Keeping the incision site clean and dry; showers are usually permitted after 48 hours.
- Follow-up appointment in 1-2 weeks for wound check and removal of any non-dissolvable stitches.
- First semen analysis is typically performed 3-6 months after surgery to check for sperm.
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Typical hospital stay:
0-1 days
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Expected recovery time:
2-4 weeks
Frequently Asked Questions
If you are considering vasoepididymostomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for vasoepididymostomy in India include Medanta The Medicity, Manipal Hospital Old Airport Road, Kamineni Hospital LB Nagar, Miot Hospital Chennai, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform vasoepididymostomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for vasoepididymostomy compare across other countries where we have data.
Top hospitals for Vasoepididymostomy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing vasoepididymostomy.
Kolkata, India
72 Doctors
My dad was admitted to MGM...
My dad was admitted to MGM with a bad fever and we were all worried. Dr. Ramya Shri was the one who really talked to us. She didn't just give medical updates; she explained things in a way we could understand, told us what to watch for at home, and actually listened to our concerns. It made a stressful time much easier to handle.
Urologists for Vasoepididymostomy
Explore experienced urologists who regularly perform vasoepididymostomy and provide pre- and post-operative care in India.
- 21 Years Experience
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Manipal Hospital Mukundapur
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Manipal Hospital Mukundapur
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Manipal Hospital Mukundapur
- 8 Years Experience
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Manipal Hospital Millers Road
- 8 Years Experience
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Manipal Hospital Millers Road
- 12 Years Experience
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Manipal Hospital Millers Road
- 11 Years Experience
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Manipal Hospital Mukundapur
- 16 Years Experience
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Manipal Hospital Mukundapur
- 26 Years Experience
- Urologist
Manipal Hospital Kanakapura Road
- 23 Years Experience
- Urologist
Manipal Hospital Kanakapura Road
- 17 Years Experience
- Urologist
Manipal Hospital Kanakapura Road
- 8 Years Experience
- Urologist
Manipal Hospital Kanakapura Road
- 28 Years Experience
- Urologist
Manipal Hospital Doddaballapur
- 15 Years Experience
- Urologist
Manipal Hospital Doddaballapur
- 23 Years Experience
- Urologist
Manipal Hospital Dhakuria
- 15 Years Experience
- Urologist
Manipal Hospital Dhakuria
- 23 Years Experience
- Urologist
Manipal Hospital Dhakuria
- 36 Years Experience
- Urologist
Manipal Hospital Dhakuria
- 41 Years Experience
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Manipal Hospitals Broadway