Diagnosis and treatment of male infertility in Binh Dan hospital

Management of male infertility is one of urological activities at Binh Dan hospital. Since last year some advanced techniques have been applying to practice: Measurement of testicle volume levels of FSH, LH, Testosterone and Prolactine, transurethral ultrasound, selective testis biopsy, per - operative vasogram, resection of the verumontanum and vassal microsurgical by pass. Therefore, we could effectively differentiate two groups of substructive and non-obstructive infertilities and hence, prognosis and treatment could be better made. 487 patients have been seen, 54% of these has shown a non-obstructive infertility, 19% of obstructive cases and 27% of indiopathic cases. 37% patients have been followed-up with spermiogram improvement in 43% of those patients, and pregnancy rate was 12%. Ejaculative duct obstruction is rare, but not difficult to be confirmed, and its treatment has been proved as a simple but effective treatment

Transcutaneous cystostomy with catheter floy by Sai Gon trocar

Nguyen Thanh Nhu has made a modified trocar: The Saigon trocar (patent pending) easy to be made in Vietnam, easy to use, safe, easy to maintenance and sterilisation, used with a 18F Foley catheter. We have performed cystostomies by using the Saigon trocar to put Foley catheters of 18F for 70 patients and by open surgery to put Foley catheters of 22F for 40 patients at Binh Dan hospital and 115 People Hospital in 1999. No operative complication has been recorded for trocar cystostomy: however, 7 failed cases because the procedure has not been carried out properly, had to be switched to open surgery. Using the Saigon trocar to perform suprapublic cystostomy reduces significantly procedure time and post-operative days, therefore the treatment cost is reduced (roughly 500000 VND/case). To prevent from complications, the procedure must be right indicated and done with good care (bladder volume >330ml, puncture perpendicularly to the abdominal wall).