Vasoepididymostomy Treatment in Turkey
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 Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for vasoepididymostomy in Turkey include Istinye Üniversitesi Hastanesi Liv, Liv Hospital Bahçeşehir, Liv Hospital Ankara, 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 Turkey
These partner hospitals in Turkey have dedicated urology teams and experience managing patients undergoing vasoepididymostomy.
Istanbul, Turkey
140 Doctors
Aadya Das, 32, is a software...
Aadya Das, 32, is a software engineer from Kolkata who has been trying to conceive with her husband for three years. After initial fertility testing revealed her husband had azoospermia (no sperm in semen), further investigation by a urologist identified a bilateral obstruction in his epididymis, likely from a childhood infection he didn't recall. The urologist recommended a vasoepididymostomy as the best chance to bypass the blockage and retrieve sperm for IVF. The microsurgery was lengthy and complex, requiring immense precision. Post-operatively, her husband experienced significant swelling and discomfort for two weeks, managed with pain medication and ice packs. After three months, a semen analysis showed motile sperm, a moment of profound relief. The emotional journey was a rollercoaster, from the initial shock and grief of the diagnosis, through the anxiety of the surgery, to cautious hope and shared determination as they moved forward with IVF planning.
Urologists for Vasoepididymostomy
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