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Clinical observation of loupe-assisted intussusception vasoepididymostomy in the treatment of obstructive azoospermia (analysis of 49 case reports)
Zhang, Guo-Xi; Bai, Wen-Jun; Xu, Ke-Xin; Wang, Xiao-Feng; Zhu, Ji-Chuan
关键词Epididymal Obstructive Azoospermia Intussusception Loupe-assisted Vasoepididymostomy
刊名ASIAN JOURNAL OF ANDROLOGY
2009-03-01
DOI10.1038/aja.2008.56
11期:2页:193-199
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Andrology ; Urology & Nephrology
研究领域[WOS]Endocrinology & Metabolism ; Urology & Nephrology
关键词[WOS]END-TO-SIDE ; MICROSURGICAL VASOEPIDIDYMOSTOMY ; EPIDIDYMAL TUBULE ; SPERM MATURATION ; VASOVASOSTOMY ; EPIDIDYMOVASOSTOMY ; SPERMATOZOA ; FERTILITY ; RATS ; MEN
英文摘要

To evaluate the clinical outcomes of loupe-assisted intussusception vasoepididymostomy (VE) in the treatment of epididymal obstructive azoospermia (EOA), we retrospectively analyzed data from 49 patients with EOA who underwent two-suture longitudinal intussusception vasoepididymostomy (LIVE) between 2000 and 2007. The data included the surgical method, postoperative motile sperm count per ejaculation, percentage of progressive motile sperm and patency and pregnancy outcomes. There were a total of 49 men undergoing scrotal exploration, and epididymal obstruction was found in all cases. Bilateral or unilateral anastomoses were performed in 40 and 6 men, respectively. The postoperative courses of 42 patients were followed up for more than 6 months, and the courses of 38 patients were followed up for more than 1 year. The overall patency and pregnancy rates were 71.4% and 26.3%, respectively. Moreover, progressive motile sperm was more frequently present in those patients who had undergone anastomosis at cauda than at corpus or caput. Pregnancy was achieved only in those patients who had undergone anastomosis at least on one side of the cauda epididymis. We think that the loupe-assisted method, with a lower overall cost and a simplified surgical procedure, can achieve satisfactory patency outcomes and pregnancy results. Data from this paper also suggest that paternity outcomes occur more frequently after anastomoses at cauda than at corpus or caput.

语种英语
WOS记录号WOS:000263769000008
Citation statistics
Cited Times:4[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52918
Collection北京大学第二临床医学院_泌尿外科
作者单位Beijing Univ, Peoples Hosp, Dept Urol, Beijing 100044, Peoples R China
Recommended Citation
GB/T 7714
Zhang, Guo-Xi,Bai, Wen-Jun,Xu, Ke-Xin,et al. Clinical observation of loupe-assisted intussusception vasoepididymostomy in the treatment of obstructive azoospermia (analysis of 49 case reports)[J]. ASIAN JOURNAL OF ANDROLOGY,2009,11(2):193-199.
APA Zhang, Guo-Xi,Bai, Wen-Jun,Xu, Ke-Xin,Wang, Xiao-Feng,&Zhu, Ji-Chuan.(2009).Clinical observation of loupe-assisted intussusception vasoepididymostomy in the treatment of obstructive azoospermia (analysis of 49 case reports).ASIAN JOURNAL OF ANDROLOGY,11(2),193-199.
MLA Zhang, Guo-Xi,et al."Clinical observation of loupe-assisted intussusception vasoepididymostomy in the treatment of obstructive azoospermia (analysis of 49 case reports)".ASIAN JOURNAL OF ANDROLOGY 11.2(2009):193-199.
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