title: [Surgical alternatives for infertile patients].
abstract: 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.
authors.affiliation: Servicio de Urología y Andrología, Fundació Puigvert, Barcelona, España.
authors.forename: José M
authors.initials: JM
authors.lastname: Pomerol Monseny
mesh_terms: D004822:Epididymis / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000601:surgery*; D008297:Male; D014669:Vasovasostomy