title: Microsurgical vaso-epididymostomy in 2 layers.
abstract: Eleven patients with epididymal obstruction were treated with microsurgical techniques. A 2-layer, end-to-side anastomosis between the vas deferens and a single loop of the epididymal duct was created. At follow-up, 9 patients had spermatozoa in their ejaculate and 3 of them achieved pregnancies with their partners. The technique described not only yields better results through the application of microsurgery but also gives a better understanding of epididymal function and pre- and per-operative diagnosic proceedings.
authors.affiliation: Department of Urology, University of Amsterdam, The Netherlands.
authors.forename: H
authors.initials: H
authors.lastname: Garibyan
authors.forename: E A
authors.initials: EA
authors.lastname: De Jong
mesh_terms: D000714:Anastomosis, Surgical; D004822:Epididymis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D011184:Postoperative Period; D013733:Testicular Diseases / Q000601:surgery; D014649:Vas Deferens / Q000601:surgery*