Portal de Periódicos da CAPES

Microsurgical Vasoepididymostomy: Refinements and Results

1993; Lippincott Williams & Wilkins; Volume: 150; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)35715-4

1527-3792

Peter N. Schlegel, Marc Goldstein,

Male Reproductive Health Studies

No AccessJournal of Urology1 Oct 1993Microsurgical Vasoepididymostomy: Refinements and Results Peter N. Schlegel, and Marc Goldstein Peter N. SchlegelPeter N. Schlegel , and Marc GoldsteinMarc Goldstein View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35715-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We describe 110 consecutive evaluable vasoepididymostomy procedures performed on 107 azoospermic men who had either bilateral epididymal obstruction, or unilateral obstruction with an absent or nonfunctional contralateral testis. End-to-end procedures were performed in 93 cases and end-to-side anastomoses were done in 17. Previously described surgical techniques were modified to perform the second layer anastomosis between the vasal sheath and the epididymal tunic, instead of using the muscular layer of the vas. Although patency and pregnancy rates were similar after both types of procedures, 40% of the men again became azoospermic after an end-to-side anastomosis, whereas the stricture rate was only 13% after vasoepididymostomy using an end-to-end anastomosis. Of the 107 men 91 have been followed for at least 1 year postoperatively or have achieved a pregnancy with their partner, and 64 (70%) had sperm in the ejaculate postoperatively. Ten men had partners with female factor infertility and none of these couples achieved pregnancy. The overall pregnancy rate was 25 of 81 couples (31%) without female factor infertility. Of the 64 men with patent anastomoses 25 (39%) contributed to a pregnancy postoperatively. Excluding the 7 men with patent anastomoses but definite female factor infertility, the pregnancy rate was 25 of 57 (44%). © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByHsiao W, Goldstein M, Rosoff J, Piccorelli A, Kattan M, Greenwood E and Mulhall J (2018) Nomograms to Predict Patency After Microsurgical Vasectomy ReversalJournal of Urology, VOL. 187, NO. 2, (607-612), Online publication date: 1-Feb-2012.Hsiao W, Sultan R, Lee R and Goldstein M (2018) Increased Follicle-Stimulating Hormone is Associated With Higher Assisted Reproduction Use After Vasectomy ReversalJournal of Urology, VOL. 185, NO. 6, (2266-2271), Online publication date: 1-Jun-2011.SCHIFF J, LI P and GOLDSTEIN M (2018) ROBOTIC MICROSURGICAL VASOVASOSTOMY AND VASOEPIDIDYMOSTOMY: A PROSPECTIVE RANDOMIZED STUDY IN A RAT MODELJournal of Urology, VOL. 171, NO. 4, (1720-1725), Online publication date: 1-Apr-2004.BOORJIAN S, LIPKIN M and GOLDSTEIN M (2018) The Impact of Obstructive Interval and Sperm Granuloma on Outcome of Vasectomy ReversalJournal of Urology, VOL. 171, NO. 1, (304-306), Online publication date: 1-Jan-2004.CHAWLA A, O'BRIEN J, LISI M, ZINI A and JARVI K (2018) SHOULD ALL UROLOGISTS PERFORMING VASECTOMY REVERSALS BE ABLE TO PERFORM VASOEPIDIDYMOSTOMIES IF REQUIRED?Journal of Urology, VOL. 172, NO. 3, (1048-1050), Online publication date: 1-Sep-2004.PAICK J, PARK J, PARK D, PARK K, SON H and KIM S (2018) Microsurgical Vasovasostomy After Failed VasovasostomyJournal of Urology, VOL. 169, NO. 3, (1052-1055), Online publication date: 1-Mar-2003.CHAN P, LI P and GOLDSTEIN M (2018) Microsurgical Vasoepididymostomy: A Prospective Randomized Study of 3 Intussusception Techniques in RatsJournal of Urology, VOL. 169, NO. 5, (1924-1929), Online publication date: 1-May-2003.PASQUALOTTO F, ROSSI-FERRAGUT L, ROCHA C, IACONELLI A, ORTIZ V and BORGES E (2018) The Efficacy of Repeat Percutaneous Epididymal Sperm Aspiration ProceduresJournal of Urology, VOL. 169, NO. 5, (1779-1781), Online publication date: 1-May-2003.McCALLUM S, LI P, SHEYNKIN Y, SU L, CHAN P and GOLDSTEIN M (2018) Comparison Of Intussusception Pull-Through End-To-Side and Conventional End-To-Side Microsurgical Vasoepididymostomy: Prospective Randomized Controlled Study in Male Wistar RatsJournal of Urology, VOL. 167, NO. 5, (2284-2288), Online publication date: 1-May-2002.HERNANDEZ J and SABANEGH E (2018) REPEAT VASECTOMY REVERSAL AFTER INITIAL FAILURE: OVERALL RESULTS AND PREDICTORS FOR SUCCESSJournal of Urology, VOL. 161, NO. 4, (1153-1156), Online publication date: 1-Apr-1999.KIM E, WINKEL E, OREJUELA F and LIPSHULTZ L (2018) PATHOLOGICAL EPIDIDYMAL OBSTRUCTION UNRELATED TO VASECTOMY: RESULTS WITH MICROSURGICAL RECONSTRUCTIONJournal of Urology, VOL. 160, NO. 6 Part 1, (2078-2080), Online publication date: 1-Dec-1998.JARVI K, ZINI A, BUCKSPAN M, ASCH M, GINZBURG B and MARGOLIS M (2018) ADVERSE EFFECTS ON VASOEPIDIDYMOSTOMY OUTCOMES FOR MEN WITH CONCOMITANT ABNORMALITIES IN THE PROSTATE AND SEMINAL VESICLEJournal of Urology, VOL. 160, NO. 4, (1410-1412), Online publication date: 1-Oct-1998.BERARDINUCCI D, ZINI A and JARVI K (2018) OUTCOME OF MICROSURGICAL RECONSTRUCTION IN MEN WITH SUSPECTED EPIDIDYMAL OBSTRUCTIONJournal of Urology, VOL. 159, NO. 3, (831-834), Online publication date: 1-Mar-1998.MATSUDA T, MUGURUMA K, HIURA Y, OKUNO H, SHICHIRI Y and YOSHIDA O (2018) SEMINAL TRACT OBSTRUCTION CAUSED BY CHILDHOOD INGUINAL HERNIORRHAPHY: RESULTS OF MICROSURGICAL REANASTOMOSISJournal of Urology, VOL. 159, NO. 3, (837-840), Online publication date: 1-Mar-1998.Kolettis P and Thomas A (2018) Vasoepididymostomy for Vasectomy Reversal: A Critical Assessment in the Era of Intracytoplasmic Sperm InjectionJournal of Urology, VOL. 158, NO. 2, (467-470), Online publication date: 1-Aug-1997.Matthews G, McGee K and Goldstein M (2018) Microsurgical Reconstruction Following Failed Vasectomy ReversalJournal of Urology, VOL. 157, NO. 3, (844-846), Online publication date: 1-Mar-1997.Matthews G, Schlegel P and Goldstein M (2018) Patency Following Microsurgical Vasoepididymostomy and Vasovasostomy: Temporal ConsiderationsJournal of Urology, VOL. 154, NO. 6, (2070-2073), Online publication date: 1-Dec-1995.Marmar J (2018) Management of the Epididymal Tubule During an End-to-Side VasoepididymostomyJournal of Urology, VOL. 154, NO. 1, (93-96), Online publication date: 1-Jul-1995.Jarow J, Sigman M, Buch J and Oates R (2018) Delayed Appearance of Sperm After End-to-Side VasoepididymostomyJournal of Urology, VOL. 153, NO. 4, (1156-1158), Online publication date: 1-Apr-1995. Volume 150Issue 4October 1993Page: 1165-1168 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordsoligospermiavas deferensepididymisinfertility, maleMetricsAuthor Information Peter N. Schlegel More articles by this author Marc Goldstein More articles by this author Expand All Advertisement PDF DownloadLoading ...