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Division of Urology

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Specialties: Infertility

One may be considered infertile, if a child has not been conceived after at least one year of unprotected intercourse. Several problems in men, such as hormone disorders, illness, reproductive anatomy trauma and obstruction may be temporary or permanent causes.

The primary causes of male infertility are: impaired sperm production, impaired sperm delivery and testosterone deficiency. These may take the form of:

  • Previous Vasectomy
    This can be corrected by surgery, and has a 90% success rate. The chance of having live sperm, however, is affected by the amount of time since the vasectomy.

  • Varicocele
    This is a group of dilated veins, which drain the blood from the testicles, causing infertility. The veins can be removed by surgery from the testicle.

  • Retrograde Ejaculation
    In some cases, the ejaculate passes into the bladder, not the urethra. The main symptom is cloudy urine after ejaculation. In this case, the sperm from the first urination after ejaculation can be collected, and implanted into the uterus of the female.

  • Hormone Imbalance
    The exact cause of the imbalance must be determined, before a suitable course of action can be taken to treat the patient.
Almost 200 infertility patients are treated per year at the AUBMC, done in conjunction with gynecology, with internationally competitive success rates. All aspects and all procedures are involved in therapy, including medical treatments, microsurgery and assisted reproductive technologies. 30% of patients visiting the Urology Department are treated for oncological problems.

Division of Urology American University of Beirut Medical Center Department of Surgery