What is Male Infertility?
Approximately 15% of all couples face infertility issues. Up to 50% of infertility in couples may be due to a male infertility factor. Male infertility focuses on the male factors that may contribute to a couple’s inability to conceive. Infertility treatment requires a team approach, involving female infertility and male infertility specialists who work together with one goal in mind – to help the couple conceive a child. We specialize in the diagnosis and treatment of men with male infertility conditions.
What causes Male Infertility?
A number of factors may lead to male infertility. These may range from genetic and physiologic factors to environmental causes. The careful evaluation and examination of male infertility patients is geared to assess any of these possible causes and to rectify them if possible. We offer some unique techniques to overcome congenital obstructive conditions.
Can Male Infertility be treated?
There are a number of male infertility conditions that can be treated. Our center specializes in some of the most innovative and cutting edge treatment options for male infertility. We are involved in a number of research protocols to develop new diagnostic and therapeutic options. We are committed to providing our patients with the safest and highest quality care available. Since our surgeons have been patients themselves, this gives us a unique perspective and has led us to push the envelope when it comes to trying to help men with these conditions. We will do whatever is possible to help you achieve your goals.
What kinds of treatment options are available?
Our center has made a serious commitment to the development of new diagnostic and surgical treatment options for Male Infertility. Our surgeons performed the first ever robotic assisted microsurgical bilateral vasoepididymostomy (complex vasectomy reversal) on July 25th, 2007. Our group also performed the first ever robotic TESE (procedure for sperm collection from the testicle) in July 2007. In August 2007, our group performed the first ever 3D Target Scan Trans-Rectal imaging of the seminal vesicles and ejaculatory ducts with vasodynamics – a new modality to detect ejaculatory duct obstruction in some infertile men.
We offer a full spectrum of treatment options for male infertility:
- Robotic Vasectomy Reversal
- Robotic Vasosvasostomy
- Robotic Vasoepididymostomy
- Intra-Abdominal Robotic Vasal Reconstruction for Men with vas deferens injury from prior Hernia Repair Surgery
- Vasal reconstruction for congenital obstruction
- Robotic micro-TESE (Testicular Sperm Extraction)
- Retrieving sperm in men who have no sperm in their ejaculate
- PESA (Percutaneous Epididymal Sperm Aspiration)
- MESA (Microsurgical Epididymal Sperm Extraction)
- Testis Biopsy
- Sperm Cryopreservation
- Electroejaculation – Spinal Cord Injury
- Vibratory Ejaculation – Spinal Cord Injury
- Complete Sperm Analysis
- Retrograde Ejaculation Treatment
Intra-Abdominal Robotic Vasal Reconstruction for Men with vas deferens injury from prior Hernia Repair Surgery
Our surgeons were the first in the world to successfully perform a novel minimally invasive treatment option to reconstruct or repair the vas deferens after injury from a prior hernia repair surgery. Some men have an injury to the vas deferens after hernia repair surgery and lose their ability to father children naturally. Traditionally, open microsurgical techniques were difficult to perform in these cases due to limited length of healthy vas on the outside of the body. The success of these open techniques has been reported to be very low (about 20-30%). We successfully performed the first intra-abdominal robotic assisted microsurgical vasal reconstruction to repair the obstructed vas deferens in a patient who had bilateral hernia repair with bilateral vasal injury in February 2013. This opens a whole new arena of minimally invasive treatment options for men with complex vas deferens obstruction.