Can Complete Vasectomy Lead to Permanent Infertility?

Q: Can Complete Vasectomy Lead to Permanent Infertility?

Hello： If both vas deferens are cut, sperm cannot be expelled, leading to infertility. <br>Wishing you good health.

Complete vasectomy?

Hello doctor, I would like to ask if inflammation of the kidneys leading to infections in the vas deferens, catheter, and bladder, which also resulted in the complete removal of the vas deferens, means that sperm cannot be expelled and will result in permanent infertility?

P, 20~29 year old female. Ask Date: 2023/08/23

Dr. Du Shixi reply Urology

Hello: If both vas deferens are cut, sperm cannot be expelled, leading to infertility.
Wishing you good health.

Reply Date: 2023/08/23

More Info

Yes, a complete vasectomy can lead to permanent infertility. A vasectomy is a surgical procedure that involves cutting and sealing the vas deferens, the tubes that carry sperm from the testicles to the urethra. This procedure is considered a permanent form of contraception because it prevents sperm from being mixed with semen and ejaculated during sexual intercourse.

In your case, if the vas deferens has been completely removed due to complications from kidney inflammation and subsequent infections, it would indeed result in the inability to ejaculate sperm. This means that you would be unable to conceive naturally, as sperm would not be present in the ejaculate.

However, it is important to note that while a vasectomy is designed to be permanent, there are surgical procedures known as vasectomy reversals that can sometimes restore fertility. These procedures reconnect the vas deferens, allowing sperm to once again be present in the ejaculate. However, the success of a reversal can depend on various factors, including the time elapsed since the original vasectomy and the specific surgical technique used.

In terms of your health condition, if you have experienced infections in the urinary tract and the vas deferens, it is crucial to manage these infections effectively. Chronic infections can lead to complications, including scarring and further reproductive issues. It is advisable to consult with a urologist or a reproductive specialist to discuss your specific situation, including the potential for any surgical interventions or assisted reproductive technologies, such as sperm retrieval techniques.

In summary, a complete vasectomy does lead to permanent infertility due to the absence of sperm in the ejaculate. If you are considering fatherhood in the future, discussing options with a healthcare provider is essential. They can provide guidance on the possibility of sperm retrieval or other fertility treatments that may be available to you.

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