This isn't like tampering with DNA in the nucleus, where most of our genetic material rests.
Mitrchondrial DNA, unlike the rest of our DNA, does not rest inside the cell nucleus but in a mitochondrial sack in the protoplasm. It is always inherited from your mother. So women pass it in to their sons and daughters, but only daughters pass it on to their children.
If you only have sons therefore your mitochondrial DNA is never passed on to your grandchildren.
It makes sense to replace this if it is faulty and causing birth defects as the 'good' mitochondrial matter will them pass down through the female line.