Diagnosis and treatment of male infertility in Binh Dan hospital

ABSTRACT

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