TURED — endoscopic relief of ejaculatory duct obstruction
Frequently Asked Questions
Male factor infertility contributes to approximately 40–50% of all infertility cases. An exclusive male factor is found in 20–30% of couples, and combined male and female factors in a further 20–30%. A semen analysis is therefore essential in the initial evaluation of any infertile couple.
Azoospermia is the complete absence of sperm in ejaculate, found in ~1% of men and 10–15% of infertile men. Obstructive azoospermia (blocked tubes — vas deferens or epididymis) can be treated with TESA/PESA for IVF or surgical reconstruction. Non-obstructive azoospermia (testicular failure) requires micro-TESE for sperm retrieval.
Semen parameters typically begin improving 3 months after varicocelectomy and show maximum improvement at 6 months. Sperm count and motility improve in 60–70% of men. Natural conception rates after varicocelectomy are 30–40% within 2 years in couples where the female partner is also evaluated and treated.
📍 Consult Dr. Kanishk Dokania at Charak Hospital, Lucknow
MBBS · MS · M.Ch (Urology) — Urologist & Kidney Transplant Surgeon, 11+ years experience