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学科主题: 临床医学
题名:
Causes of Suspected Epididymal Obstruction in Chinese Men
作者: Peng, Jing; Yuan, Yiming; Cui, Wanshou; Zhang, Zhichao; Gao, Bing; Song, Weidong; Xin, Zhongcheng
刊名: UROLOGY
发表日期: 2012-12-01
DOI: 10.1016/j.urology.2012.08.057
卷: 80, 期:6, 页:1258-1261
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: INTRACYTOPLASMIC SPERM INJECTION ; VASECTOMY REVERSAL ; INTUSSUSCEPTION VASOEPIDIDYMOSTOMY ; MICROSURGICAL VASOEPIDIDYMOSTOMY ; EXPERIENCE
英文摘要:

OBJECTIVE To explore the causes of epididymal obstruction in China and the success of reconstructive surgery.

MATERIALS AND METHODS From February 2006 to December 2009, 134 consecutive azoospermic men with suspected epididymal obstruction underwent scrotal exploration. We excluded 11 men who had undergone vasectomy and 5 with inguinal hernia repair. The findings of scrotal exploration and outcomes of reconstructive surgery were reviewed.

RESULTS Epididymal obstruction was found in 162 of 258 (62.8%) suspected blocked reproductive tract units (2/patient). The etiology of obstruction was idiopathic for 144 units (88.9%), infection for 16 (9.9%), and surgical for 2 (1.2%). The etiology for the remaining 96 obstructed units (37.2%) was intratesticular obstruction for 59 (61.5%), vasal obstruction for 24 (25%) and vasal atresia for 13 (13.5%). Of the 134 patients, we identified sperm in the epididymis on >= 1 side in 96 (71.6%). These 96 patients underwent vasoepididymostomy, and 46 (63.9%) had sperm on postoperative ejaculation.

CONCLUSION Idiopathic obstruction was the most common cause of epididymal obstruction in this Chinese sample, which differed from the U. S. experience. Microsurgical vasoepididymostomy is effective for idiopathic epididymal obstruction. UROLOGY 80: 1258-1261, 2012. (C) 2012 Elsevier Inc.

语种: 英语
WOS记录号: WOS:000311950000028
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65492
Appears in Collections:北京大学第一临床医学院_男科中心_期刊论文

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作者单位: Peking Univ, Androl Ctr, Hosp 1, Beijing 100034, Peoples R China

Recommended Citation:
Peng, Jing,Yuan, Yiming,Cui, Wanshou,et al. Causes of Suspected Epididymal Obstruction in Chinese Men[J]. UROLOGY,2012,80(6):1258-1261.
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