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.
Marshall
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James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
Chang
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Vindivich
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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