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Patency Rates of Microsurgical Vasoepididymostomy for Patients With Idiopathic Obstructive Azoospermia: A Prospective Analysis of Factors Associated With Patency-Single-center Experience.
MedLine Citation:
PMID:  22202547     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the factors that might be associated with the patency rates of microsurgical vasoepididymostomy for idiopathic obstructive azoospermia.
METHODS: From January 2009 to July 2010, we evaluated the data from 73 men with obstructive azoospermia who had undergone longitudinal intussusception vasoepididymostomy. The mean age was 30.9 ± 4.9 years (range 22-48). The outcomes were analyzed by the pre- or intraoperative clinical findings: epididymal fullness, unilateral or bilateral procedure, site of anastomosis, and epididymal fluid findings.
RESULTS: The mean follow-up was 13.5 ± 5.3 months (range 4-22) for 53 patients (72.6%). The overall patency rate was 71.7% (n = 38). The patency rate was 87.2%, 80.7%, 78.8%, 100%, and 83.7% for epididymal fullness, bilateral surgery, corpus anastomosis, caudal anastomosis, and flowing fluid with motile sperm, respectively. The natural pregnancy rate was 33.3% at a mean of 9.9 ± 4.2 months of follow-up.
CONCLUSION: Longitudinal intussusception vasopididymostomy can provide a good patency rate, with success associated with epididymal fullness, bilateral surgery, distal epididymal anastomosis, and flowing fluid with motile sperm.
Authors:
Jing Peng; Yiming Yuan; Zhichao Zhang; Bing Gao; Weidong Song; Zhongcheng Xin; Jie Jin; Wujiang Liu; Yinglu Guo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urology     Volume:  79     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  119-22     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Andrology Center and the Department of Urology, Peking University First Hospital, Beijing, China.
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