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male fertility & infertility issues

male fertility & infertility issues

Male fertility issues often come as a disappointing surprise. And while it may initially feel like a daunting or overwhelming roadblock, we have specialised skills and experience to help.

Infertility is diagnosed when a couple has been trying to conceive for at least a year without success.

Issues with male fertility can be caused by a variety of factors including:

  • hormonal imbalances,
  • genetic conditions,
  • varicocele,
  • lifestyle factors,
  • certain medical treatments.

Some common conditions affecting male fertility include:

  • low sperm count,
  • poor sperm motility or morphology, 
  • blockages in the reproductive system.

While common treatments for male infertility may include medications or surgeries, the specific treatment plan will depend on each individual’s circumstances. 

conditions and treatments

vasectomy reversal

Whilst many men choose to undergo a vasectomy, we also understand that circumstances change.

We look after many men in this situation.

If you are interested in a vasectomy reversal, we would be delighted to help.

At Restore Urology, our surgeons have specialised formal microsurgical training, as well as a thorough understanding of male fertility, so we’re the perfect choice to guide you through this process.

sperm retrieval

Sperm retrieval refers to the process of extracting sperm directly from the testicles or epididymis when there is no sperm present in the semen.

This may be due to factors such as a previous vasectomy, genetic conditions, congenital absence of the vas deferens, or certain medical treatments.

Sperm retrieval can be performed through procedures such as micro testicular sperm extraction (microTESE) or percutaneous epididymal sperm aspiration (PESA).

Once the sperm has been retrieved, it can be used with assisted reproduction such as vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).

Microsurgical Varicocelectomy

A varicocele is a condition in which the veins in the scrotum become enlarged and swollen, which can lead to either discomfort, or a reduction in sperm production or quality.

A microsurgical varicocelectomy is a minimally invasive procedure in which the affected veins are surgically removed or tied off.

The procedure is typically performed under general anaesthesia and involves using a high-powered microscope to precisely identify and treat the affected veins.

Microsurgical varicocelectomy has been shown to improve sperm count and motility in men with varicoceles.


Transurethral resection of the ejaculatory ducts (TURED) is a minimally invasive surgical procedure that is used to treat obstructive azoospermia, a condition in which there is a blockage in the ducts that carry sperm from the testicles to the urethra.

During TURED, a small telescope is passed through the urethra and into the ejaculatory ducts, where the blockage is removed using a special instrument.

This can help to restore the flow of sperm and improve fertility. It can also be used for men with persistent haematospermia (blood in the ejaculate).

vasectomy (no scalpel)

Vasectomy is a surgical procedure that is used to permanently prevent pregnancy by cutting or blocking the vas deferens.

A no-scalpel vasectomy is a minimally invasive technique that uses a special instrument to make a small puncture in the skin of the scrotum, rather than making a traditional incision.

It’s important to note that vasectomy is a permanent form of birth control, so it should only be considered if you are certain that you do not want to have children in the future.

Watch video: is vasectomy forever?

At Restore Urology, we have specialised skills and experience to help with the causes and treatment for issues related to male fertility.