Recently, Dr. Kuang was acknowledged for his compassionate care in the community. In addition to running the Southwest Fertility Center for Men that specializes in vasectomy reversal, he also helps out covering the local emergency rooms taking care of New Mexicans with urologic issues:

"Dear Paul,
Last night 10/14 Dr. Kuang was on call and it was also his birthday. As he was leaving the hospital we gave him not one but three consults. He was incredibly kind and pleasant and even took the messy hospice patient who needed a suprapubic catheter. I cannot tell you how appreciative we are in the Emergency Department for his professional and pleasant behavior. Thanks.
Kudos to Dr. Kuang! "

We received this email the other day from J from Albuquerque, New Mexico. A comprehensive evaluation determined that he had no sperm in his ejaculate and was missing the "pipes" or vas deferens that are carry sperm out to the penis. Fortunately, his testicles were still making sperm. We call this "obstructive azoospermia." Men in this situation need to receive genetic testing. It showed that he was a carrier for Cystic Fibrosis. Historically just a couple decades ago, there was no hope for these men to conceive; however, in the modern era of Assisted Reproductive Technology (ART) and In Vitro Fertilization (IVF), we were able to retrieve sperm from his testicles with a 20 minute minor procedure and used it for IVF and here is that email:

"Dr. Kuang: We've learned to grab a nap where we can. I've attached I few photographs to share with you and your staff.
Eliana was born on Thursday, March 26th. She weighed in at 7 pounds and 5 ounces with a head to toe length of 19 1/4 inches and was sporting a full head of red hair.
Would definitely like to stop by with the family to say hi. Perhaps sometime next week. I'll check with B and get back with you later to schedule a visit.

Thanks for sharing the great news! - Dr. K

Dr. Kuang was recently invited to give the University of New Mexico urology residents a lecture on the Microsurgical Skills and Techniques that are necessary for performing state-of-the-art microsurgeries such as vasectomy reversals and varicocele ligations. Normally homeschooling his children on the day of the lecture, Dr. Kuang made a field trip out of it and took his children to the lecture at the Cancer Center at UNM. With the children in the back of the hall drawing Star Wars clone troopers, Dr. Kuang enjoyed the opportunity to explain the nuances of using an operating microscope and the foot pedals, the different surgical palm and pencil grips, detailing the differences in microsurgical instruments and outlining tips and tricks to suturing and knot tying under a microscope on anatomical structures that are less than a millimeter wide. Educating the surgeons of tomorrow continues to be one of the most satisfying aspects of Dr. Kuang's professional life as an Assistant Professor at UNM.

Click here to view the link.

Robotic vasectomy reversal is a burgeoning field of research. In the process of publishing his third paper on vasectomy reversal, Dr. Kuang is excited by this new research coming out of the University of Florida and looks forward to seeing the long term results with pregnancy and patency and hopes that this technology helps couples who seek to build a healthy family after a vasectomy.

Just saw a lovely couple the other day where the man had had a vasectomy 7 years ago and wanted to to know if he was a good candidate for vasectomy reversal. Under normal circumstances given his wife's young age, he would have been a great candidate until he mentioned that he had been on testosterone replacement therapy for 5 years by his endocrinologist (a hormone specialist). While testosterone allowed him to function well in his daily life, testosterone therapy confuses the brain who thinks that the testicles are out of control making too much testosterone. As a result, the brain begins to shut down the testicles and sperm production will drop off. To confirm this, we performed a testicular biopsy that revealed only a few sperm. He made it clear that there was no way he could have a vasectomy reversal if it meant not being on testosterone therapy for a long period of time; consequently, he and his wife decided to pursue In Vitro Fertilization. To do this, we wanted to try and boost his sperm production for several months before going into his testicle to retrieve sperm. He stopped the testosterone therapy and started on Human Chorionic Gonadotropin injections which is a hormone that stimulates the testicles. The HCG injections worked well and after two and a half months of injections, we went back into his testicles and found sperm at near normal concentrations. After retrieving and freezing plenty of sperm, he is happy that he can now go back on his testosterone therapy. They will be starting their IVF cycle in several weeks. Just thought this was a unique and interesting situation that I wanted to share with you all. - Dr. K