[Surgical alternatives for infertile patients].
OBJECTIVE
We review the main issues on epididymis obstruction and its diagnosis, as well as therapeutic indications and surgical techniques for epididymovasostomy.


METHODS
We describe the microsurgical end-to-side epididymovasostomy technique using double needle 10-0 sutures.


RESULTS
Various techniques of epididymovasostomy achieve seminal tract permeability in 39-86% of the cases and pregnancy in 13-42%.


CONCLUSIONS
Microsurgical epididymovasostomy and testicular/epididymal spermatozoid recovery for ICSI are the alternatives for epididymal obstruction. The choice of the most adequate method depends on various factors and patient's preferences after proper information.
Pomerol Monseny
José M
JM
Servicio de Urología y Andrología, Fundació Puigvert, Barcelona, España.
D004822:Epididymis / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000601:surgery*; D008297:Male; D014669:Vasovasostomy