Microsurgical vasoepididymostomy to corpus epididymidis in treatment of inflammatory obstructive azoospermia.
A unilateral microsurgical vasoepididymostomy utilizing 35 mm of epididymis was performed in a patient with postinflammatory epididymal obstruction. Success was verified with multiple semen analyses, the hamster egg penetration test, and a pregnancy. These results demonstrate that surgical bypass of inflammatory tubal obstruction in the distal epididymis can result in the return of normal epididymal function and fertility.
James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
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Marshall
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Chang
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Vindivich
D000328:Adult; D004822:Epididymis / Q000601:surgery*; D004823:Epididymitis / Q000150:complications; D006069:Gonorrhea / Q000150:complications; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D009845:Oligospermia / Q000209:etiology / Q000601:surgery*; D014669:Vasovasostomy