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A novel experience of deferential vessel-sparing microsurgical vasoepididymostomy / 亚洲男科学杂志(英文版)
Asian Journal of Andrology ; (6): 576-580, 2018.
Article in English | WPRIM | ID: wpr-1009628
ABSTRACT
Microsurgical longitudinal intussusception vasoepididymostomy (LIVE) has been widely used to treat epididymal obstructive azoospermia since 2004. Although the deferential vasculature plays an important role in supplying blood to the testis and epididymis, little attention has been paid to the potential benefits of sparing the deferential vessels during the anastomosis in LIVE. This study aimed to evaluate the efficacy and safety of deferential vessel-sparing LIVE in humans. From December 2013 to December 2015, 69 azoospermic men with epididymal obstruction due to a genital infection, trauma, or idiopathic factors underwent deferential vessel-sparing LIVE in the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. The outcomes of these patients were analyzed retrospectively. The mean age was 31.1 years for men and 28.3 years for their partners. Fifty-nine (85.5%, 59/69) men were followed up after surgery for approximately 16 months. Patency was noted and confirmed by semen analysis (>10 000 sperm/ml) in 83.1% (49/59) of men. The natural pregnancy rate was 40.7% (24/59) by the end of the study, with 87.5% (21/24) of these natural pregnancies achieved within 12 months after surgery. No severe adverse events or complications were observed. In this study, we present a novel technique for sparing the deferential vessels during LIVE. The preliminary outcomes show this technique to be safe with favorable patency and pregnancy rates.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / Urogenital Surgical Procedures / Testis / Vas Deferens / Retrospective Studies / Follow-Up Studies / Treatment Outcome / Pregnancy Rate / Epididymis / Azoospermia Limits: Adolescent / Adult / Female / Humans / Male / Pregnancy Language: English Journal: Asian Journal of Andrology Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / Urogenital Surgical Procedures / Testis / Vas Deferens / Retrospective Studies / Follow-Up Studies / Treatment Outcome / Pregnancy Rate / Epididymis / Azoospermia Limits: Adolescent / Adult / Female / Humans / Male / Pregnancy Language: English Journal: Asian Journal of Andrology Year: 2018 Type: Article