| Loupe-assisted modified one-layer vasovasostomy. | |
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MedLine Citation:
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PMID: 15804869 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Several studies indicate that microsurgical modified one-layer vasovasostomy is comparable to the two-layer anastomosis with respect to patency and pregnancy rates. The objective of this study was to determine the feasibility and result of modified one-layer vasovasostomy under loupe magnification only. Thirty-two patients aged 28 to 64 years (mean 41.3 +/- 6 years) underwent vasovasostomy at CGMH from July 1997 to June 2002, with all operations being a modified on-layer anastomosis created with the aid of a 3 x loupe. The estimated duration of vasectomy ranged from 4 months to 27 years, with a mean of 9.2 +/- 4.8 years. Postoperative semen analysis and pregnancy were examined. Each patient was followed up at 1,4, and 12 weeks postoperatively. The total operation time ranged from 118 to 228 minutes (average 150 +/- 35 minutes). There was no operation-related complication such as hematoma or wound infection. The patency rate was 89% (25/28), and the pregnancy rate at 2 years or more of follow-up was 39% (11/28). The patency and pregnancy rates were similar to those obtained in most studies of microsurgical vasovasostomy. For uncomplicated vasectomy reversal, this simple loupe-assisted modified one-lyer vasovasostomy seems to provide an adequate anastomosis. |
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Authors:
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M L Hsieh; H C Huang; S T Huang; Y J Chiang; Y Chen; S-H Chu; P L Chang |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of andrology Volume: 51 ISSN: 0148-5016 ISO Abbreviation: Arch. Androl. Publication Date: 2005 Mar-Apr |
Date Detail:
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Created Date: 2005-04-04 Completed Date: 2005-06-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806755 Medline TA: Arch Androl Country: England |
Other Details:
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Languages: eng Pagination: 141-8 Citation Subset: IM |
Affiliation:
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The Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shing Street, Kweishan, Taoyuan, Taiwan, ROC. h0810@adm.cgmh.com.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Humans Male Middle Aged Treatment Outcome Vasovasostomy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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