Quote from cardiacRN2006
He could expect some degree of infertility depending on a lot of factors. People who have this condition will develop anti-sperm antibodies (ASAs) to some degree depending on their immune system-regardless of what treatment is performed. This is due to a break in the blood-testes barrier.
He won't find out if it's a problem until later on. However, just as we only need one ovary, they only need on testicle. Usually the other will compensate.
First let me say that I am no expert on this subject which is to say that I might not know what I'm talking about. I'm just going to pass along what my doctor told me as I understood it since I have a related condition.
Two different urologists were of the opinion that I have a torsed appendix of the testicle, caused most likely by an injury. The result is that the affected testicle cannot allow sperm to pass out through the epididymis into the vas deferens. The affected testicle thinks it has had a vasectomy and the sperm is reabsorbed into the body. Anti-sperm antibodies are the result which attach to the normal sperm produced by the normal testicle. The antibodies will impair the ability of the sperm to fertilize the egg, meaning, at least in my case, no father's day for me.
The unaffected testicle in my case was able to produce good volume and good swimmers, but under a microscope are covered in antibody material. They just can't penetrate the egg. Sperm wash and direct insemination has not been successful. Neither has 3 rounds of IVF (at $15K a pop).
My thinking is that the anti-sperm antibodies are the result of a torsion that precludes the passage of sperm out of the body and that assumes that only one side is affected and to the degree that sperm passage is impaired. If the torsion blocks blood flow and the testicle dies, or both testicles are torsed to the point that both die, I don't think that antibodies are an issue anyway.