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About SREI

Society for Reproductive Endocrinology and Infertility, Society for Reproductive Endocrinology and Infertility

Research

Infertility surgery for men

Human Fertilisation & Embryology Authority, Human Fertilisation & Embryology Authority

Some men who don’t produce sperm naturally, or who have a blockage preventing sperm from coming out, can have surgery to increase their chances of conceiving. This includes men with fertility issues following chemotherapy and men who want to try and reverse a vasectomy. Surgical sperm extraction and vasectomy reversal are two common procedures.

Research

AAPLOG Endometriosis & Surgery 101

Naomi Whittaker

To discuss candidates for surgery, tools & techniques for endometriosis surgical treatment, as well as adhesion prevention measures

Research

Surgery for Male Infertility

NYU Langone Health, NYU Langone Health

Urologists at NYU Langone sometimes recommend surgery to manage conditions that cause problems with sperm production in men with infertility. Surgical options include varicocelectomy, varicocele embolization, transurethral ejaculatory duct resection, vasectomy reversal, and microsurgical testicular sperm extraction.

Research

Male Reproductive Surgery

UCSF Center for Reproductive Health, UCSF Center for Reproductive Health

Overview of male reproductive surgery from UCSF's Center for Reproductive Health. Anatomical (surgical) male-factor problems can often be corrected with surgery, while some require medical therapy or assisted reproduction; effects on semen appear ~3 months after treatment (one spermatogenesis cycle). Covers varicocele (found in 42% of infertile men; semen improvement in ~67% and ~40% pregnancy after repair), vasectomy reversal (vasovasostomy with 85-99% return of sperm and 60-65% pregnancy with a healthy partner), ejaculatory duct obstruction (resection improves semen in ~70%, 20-30% pregnancy), and sperm-retrieval techniques (MESA, PESA, testicular extraction, testis mapping) used with IVF-ICSI when reconstruction is not possible.

Research

Surgical Treatment for Male Infertility

Society for the Study of Male Reproduction et al., Society for the Study of Male Reproduction, Inc.

Surgical treatment for male infertility may include varicocelectomy, microsurgical reconstruction, vasectomy reversal, and epididymovasostomy. These procedures can help improve sperm movement, concentration, and structure, and can be effective in reversing blockages caused by vasectomy or other conditions. It is essential to find an experienced microsurgeon to perform these procedures. The Society for the Study of Male Reproduction provides resources and information for patients and physicians, including a directory of male infertility specialists and a patient education forum.