Document Detail


A modified single-armed technique for microsurgical vasoepididymostomy.
MedLine Citation:
PMID:  23042447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study is to evaluate the effectiveness of a modified single-armed suture technique for microsurgical vasoepididymostomy (VE) in patients with epididymal obstructive azoospermia. From September 2011 to December 2011, microsurgical two-suture longitudinal intussusception VEs were performed using our modified single-armed suture technique in 17 men with epididymal obstructive azoospermia at our hospital. Two of these patients underwent repeated VEs after previous failed VEs, and one patient underwent unilateral VE because of an occlusion of the left abdominal vas deferens. The presence of sperm in the semen sample at 3 months postoperation was used as the preliminary endpoint of this study. Each patient provided at least one semen sample at the 3-month time point, and the patency was assessed by the reappearance of sperm (>10(4) ml(-1)) in the semen. The mean operative time for the modified technique was 219 min. Patency was noted in 10 men (58.8%), including one patient who underwent repeated VE. The patient who underwent unilateral anastomosis manifested no sperm postoperatively in his semen. Sperm granulomas were not detected in this cohort. The results of this study demonstrate that our modified technique for microsurgical longitudinal intussusception VE is effective. We believe that it is a practical alternative that may reduce operation time and obviate the suture crossing.
Authors:
Liang Zhao; Chun-Hua Deng; Xiang-Zhou Sun; Yu Chen; Wen-Wei Wang; Liang-Yun Zhao; Ling-You Zeng; Xiang-An Tu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-10-08
Journal Detail:
Title:  Asian journal of andrology     Volume:  15     ISSN:  1745-7262     ISO Abbreviation:  Asian J. Androl.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-07     Completed Date:  2013-06-06     Revised Date:  2013-09-17    
Medline Journal Info:
Nlm Unique ID:  100942132     Medline TA:  Asian J Androl     Country:  China    
Other Details:
Languages:  eng     Pagination:  79-82     Citation Subset:  IM    
Affiliation:
Department of Urology, Huangpu Hospital, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510700, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anastomosis, Surgical / methods*
Azoospermia / surgery
Epididymis / surgery*
Humans
Male
Microsurgery / methods*
Semen Analysis
Sperm Count
Suture Techniques
Sutures
Treatment Outcome
Urologic Surgical Procedures / methods*
Vas Deferens / surgery*
Comments/Corrections

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