Rapidly progressing, late-onset obstructive azoospermia linked to herniorrhaphy with mesh.
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.
Yamaguchi
Kohei
K
Department of Organs Therapeutics, Division of Urology, Faculty of Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Ishikawa
Tomomoto
T
Nakano
Yuzo
Y
Kondo
Yutaka
Y
Shiotani
Masahide
M
Fujisawa
Masato
M
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*
D011126:Polypropylenes