title: [A summary of the results of microsurgical exploration and treatment. 40 cases of male sterility (author's transl)].
abstract: The authors report their statistical results of 40 subjects that were explored and where double epididymo-deferens anastomoses were achieved. They found that there were associated conditions which worsened the prognosis, namely: stenosis of the genital tracts and broncho-pulmonary infections. On the other hand stenosis of the genital tracts associated with varicocoele gave a better prognosis. Permeability was achieved in 40 p. 100 of cases. Six pregnancies occured from 33 patients who were followed up with post-operative spermograms. The following treatments are useful if added to the surgical treatment: gonadotrophins, corticoids and antibiotics. They point out that surgical cure is much more likely when varicocoele is associated.
mesh_terms: D001987:Bronchiectasis / Q000150:complications; D004822:Epididymis / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007248:Infertility, Male / Q000150:complications / Q000601:surgery*; D008297:Male; D008722:Methods; D011247:Pregnancy; D012729:Sex Chromosome Aberrations / Q000150:complications; D013737:Testis / Q000473:pathology; D014646:Varicocele / Q000150:complications; D014649:Vas Deferens / Q000601:surgery
vernacular_title: La microchirurgie dans la stérilité masculine. Résultats du bilan et du traitement chez 40 patients.