Document Detail

Rapidly progressing, late-onset obstructive azoospermia linked to herniorrhaphy with mesh.
MedLine Citation:
PMID:  18675969     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report a case of a man presenting with rapidly progressing inguinal vasal obstruction 5 years after bilateral herniorrhaphy with polypropylene mesh. DESIGN: Case report with a review of the scientific literature. SETTING: Male infertility clinic, Kobe University Hospital (Kobe, Japan). PATIENT(S): A 30-year-old patient who had undergone bilateral inguinal herniorrhaphy using polypropylene mesh 5 years previously. INTERVENTION(S): The patient underwent bilateral vasography and left testicular sperm extraction (TESE). MAIN OUTCOME MEASURE(S): Long-term effects of the adult inguinal herniorrhaphy with polypropylene mesh. RESULT(S): Rapid progression of vas deferens obstruction occurred within several months. We performed left TESE for intracytoplasmic sperm injection (ICSI) and retrieved many motile sperm. CONCLUSION(S): Before azoospermia, men who undergo inguinal herniorrhaphy using polypropylene mesh need to rapidly cryopreserve their sperm for future fertility; TESE-ICSI is also a selectable treatment.
Kohei Yamaguchi; Tomomoto Ishikawa; Yuzo Nakano; Yutaka Kondo; Masahide Shiotani; Masato Fujisawa
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-08-03
Journal Detail:
Title:  Fertility and sterility     Volume:  90     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-10     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2018.e5-7     Citation Subset:  IM    
Department of Organs Therapeutics, Division of Urology, Faculty of Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
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MeSH Terms
Azoospermia / etiology*,  radiography
Disease Progression
Hernia, Inguinal / surgery*
Polypropylenes / adverse effects*
Semen Preservation
Sperm Injections, Intracytoplasmic
Sperm Retrieval
Surgical Mesh / adverse effects*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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