The answer to this question is simply YES.
In patients with azoospermia, it is important to first determine whether the condition is congenital or acquired. Depending on the cause, nowadays Azoospermia patients can either spontaneously produce sperm with the appropriate treatment approach or sperm can be found from the testicle with the microsurgical method called MicroTESE.
Azosperm tedavisinde en önemli olan şey bireyin SABIR‘ lı olmasıdır. Çünkü Azosperm hastalarında bir tedavi sürecine girilmektedir ve belli bir plan dahilinde tedavi yapılmaktadır. Bu süreçte kesinlikle umutsuzluğa girmemek ve tedavi protokolünü izlemek gerekir. Azosperm hastalarının en az yarısı günümüzde çocuk sahibi olabilmektedir.
Thanks to the microsurgical technique, more detailed surgery is performed and therefore patients benefit more. In addition, thanks to the advantages of microscope technology, damage to the vessels or lymphatics supplying the testicle is close to 0%. For this reason, MICROSURGICAL technique should be preferred in varicocele surgery for both a more effective surgery and a safer intervention.
The shock therapy called ESWT is actually a wave technology that has been used for many years for heel spurs. Recently, the technology developed to increase vascularization in the heart has been used to increase blood vessels in the penis and good results have been obtained in patients. With this treatment, which is completely side-effect-free and simple application technique, you can get rid of your erectile dysfunction to a great extent.
If no sperm is found during the MicroTESE operation, the chance of finding sperm for the next MicroTESE depends on the type of testicular tissue. If the histopathology comes back as Hypospermatogenesis, there will be a 30% to 40% chance of finding sperm after 6 months with appropriate hormone therapy. If the pathology is Complete Maturation Arrest, there will be less chance of finding sperm. It will be necessary to discuss this in detail with the family and initiate treatment accordingly. But hope should never be zero. Studies have shown that MicroTESE can be performed 4 times in patients with appropriate testicular volume.
Varicocele is a common disease in men, affecting 1 in 5 men. The important thing is who should be operated on or who should be followed up. In my experience, varicocele should be corrected if it causes sexual desire problems or, most importantly, if it prevents the man from having a child by impairing the quality of the sperm.
