About Vasography
Key Highlights
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Provides a definitive diagnosis for obstructive azoospermia.Guides precise surgical planning for reconstruction or sperm retrieval.Minimally invasive diagnostic procedure.Performed by a specialist (andrologist) with expertise in male reproductive anatomy.Offers clear visualization of the vas deferens and ejaculatory ducts.
Who is this surgery for?
- Diagnosis of obstructive azoospermia (no sperm in semen due to blockage).
- Evaluation after a failed vasectomy reversal to assess the surgical site.
- Investigation of suspected congenital absence or malformation of the vas deferens.
- Assessment of ejaculatory duct obstruction.
- Pre-operative planning for procedures like vasoepididymostomy or testicular sperm extraction (TESE).
- Unexplained male infertility with normal hormone levels and testicular size.
How to prepare
- A thorough clinical evaluation and semen analysis are completed beforehand.
- Patient may be asked to stop certain medications, like blood thinners, as advised by the doctor.
- Procedure is typically performed under local or general anesthesia; fasting instructions will be provided if needed.
- Informed consent detailing the procedure, risks, and alternatives is obtained.
- The scrotal area may need to be shaved prior to the procedure.
Risks & possible complications
- Infection at the injection or incision site.
- Bleeding or hematoma (collection of blood) in the scrotum.
- Injury to the vas deferens or surrounding structures.
- Allergic reaction to the contrast dye (rare).
- Pain, swelling, or bruising in the scrotum post-procedure.
- Potential for creating a new obstruction or scar tissue from the procedure itself.
- Rare risk of testicular atrophy if blood supply is compromised.
Recovery & hospital stay
- Patients can usually go home the same day after observation.
- Scrotal support (tight underwear or a jockstrap) and ice packs are recommended for 24-48 hours to reduce swelling.
- Oral pain medication is prescribed to manage discomfort.
- Avoidance of strenuous activity, heavy lifting, and sexual intercourse for 1-2 weeks is advised.
- Keep the incision site clean and dry; watch for signs of infection like increased redness, swelling, or discharge.
- A follow-up appointment is scheduled to discuss the imaging results and next steps.
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Typical hospital stay: 0-1 days (typically outpatient)
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Expected recovery time: 3-7 days for normal activity, 2 weeks for strenuous activity
Frequently Asked Questions
If you are considering vasography in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with andrology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform vasography. MediFyr helps you compare andrologists 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 vasography compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 15 Thousand – 50 Thousand | 0-1 days (typically outpatient) | ~ 3-7 days for normal activity, 2 weeks for strenuous activity | Know More |
| Turkey | TRY 52.5 Thousand – 175 Thousand | 0-1 days (typically outpatient) | ~ 3-7 days for normal activity, 2 weeks for strenuous activity | Know More |
Aarav Verma, a 32-year-old software engineer...
Aarav Verma, a 32-year-old software engineer from Bangalore, had been trying to conceive with his wife for over three years. All initial fertility tests for his wife were normal, and his semen analysis consistently showed azoospermia (no sperm). As a healthy, active man with no history of injury or illness, the unexplained absence of sperm was deeply confusing and stressful. His andrologist, after a thorough physical exam and hormone tests, recommended a vasography. The procedure would determine if there was a physical blockage in his vas deferens, the tubes that carry sperm. During the minimally invasive surgery, a contrast dye was injected, and X-rays revealed a congenital bilateral obstruction. The emotional relief of finally having an answer was immense, though mixed with the reality of his condition. Recovery involved a few days of soreness and swelling, managed with ice and pain medication. The outcome was definitive: he had obstructive azoospermia. While the news meant natural conception was impossible, it provided a clear path forward. He and his wife pivoted to planning for sperm retrieval (PESA/TESA) combined with IVF. His emotional journey shifted from years of frustrating uncertainty to a focused, though challenging, hope for fatherhood through assisted reproduction.