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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Chronic ITP Need A Splenectomy?

I need some advice on treatment for my sons chronic ITP , there is only 1 opinion available where we live, and he wants to remove the spleen. My Son is 16, close to 6 foot tall, and weighs 69kg.History is almost a year of platelet levels between 30 and 80.we started Prednazone 4weeks ago ,as his level dropped to 29, and after 2 weeks on 80mg per day - the level was 80, and we went down to 50mg per day.After 2 weeks on 50mg per day, level is 35 again, and now he suggests a spleenectomy straight away. I am not convinced - I feel the steroid had no affect, but am reluctant to remove spleen so urgently
posted on Thu, 13 Mar 2014
Twitter Sat, 27 Apr 2019 Answered on
Twitter Mon, 29 Apr 2019 Last reviewed on
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Urologist,  's  Response
Hello,

It is very good that your husband has sperms after the reversal vasectomy. It might take time before the semen would be normal in terms of viscosity and motility.

Majority of cases there are abnormalities in the parameters of the semen after the reversal vasectomy. so your doctor might be able to give you some food supplements vitamins to improve these semen parameters. within 11% motility, it is not impossible to fertilize an egg.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Manuel C See IV, Urologist
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Does Chronic ITP Need A Splenectomy?

Hello, It is very good that your husband has sperms after the reversal vasectomy. It might take time before the semen would be normal in terms of viscosity and motility. Majority of cases there are abnormalities in the parameters of the semen after the reversal vasectomy. so your doctor might be able to give you some food supplements vitamins to improve these semen parameters. within 11% motility, it is not impossible to fertilize an egg. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manuel C See IV, Urologist