title: Rapidly progressing, late-onset obstructive azoospermia linked to herniorrhaphy with mesh.
abstract: OBJECTIVE
  To report a case of a man presenting with rapidly progressing inguinal vasal obstruction 5 years after bilateral herniorrhaphy with polypropylene mesh.
  
  
  METHODS
  Case report with a review of the scientific literature.
  
  
  METHODS
  Male infertility clinic, Kobe University Hospital (Kobe, Japan).
  
  
  METHODS
  A 30-year-old patient who had undergone bilateral inguinal herniorrhaphy using polypropylene mesh 5 years previously.
  
  
  METHODS
  The patient underwent bilateral vasography and left testicular sperm extraction (TESE).
  
  
  METHODS
  Long-term effects of the adult inguinal herniorrhaphy with polypropylene mesh.
  
  
  RESULTS
  Rapid progression of vas deferens obstruction occurred within several months. We performed left TESE for intracytoplasmic sperm injection (ICSI) and retrieved many motile sperm.
  
  
  CONCLUSIONS
  Before azoospermia, men who undergo inguinal herniorrhaphy using polypropylene mesh need to rapidly cryopreserve their sperm for future fertility; TESE-ICSI is also a selectable treatment.
authors.affiliation: Department of Organs Therapeutics, Division of Urology, Faculty of Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Tomomoto
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Nakano
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kondo
authors.forename: Masahide
authors.initials: M
authors.lastname: Shiotani
authors.forename: Masato
authors.initials: M
authors.lastname: Fujisawa
mesh_terms: D000328:Adult; D053713:Azoospermia / Q000000981:diagnostic imaging / Q000209:etiology*; D015925:Cryopreservation; D018450:Disease Progression; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D011126:Polypropylenes / Q000009:adverse effects*; D011859:Radiography; D012662:Semen Preservation; D020554:Sperm Injections, Intracytoplasmic; D053625:Sperm Retrieval; D013526:Surgical Mesh / Q000009:adverse effects*
chemical_list: D011126:Polypropylenes