The effect of BMI and age on the outcomes of microsurgical vasoepididymostomy: a retrospective analysis of 181 patients operated by a single surgeon

作     者：Shou-Yang Wang Yang-Yi Fang Hai-Tao Zhang Yu Tian Vera Yeung Chung Yin-Chu Cheng Kai Hong Hui Jiang 

作者机构：Department of UrologyPeking University Third HospitalBeijing 100191China Department of Reproductive MedicinePeking University Third HospitalBeijing 100191China Department of UrologyGleneagles Hospital Hong KongHong KongChina Department of PharmacyPeking University Third HospitalBeijing 100191China 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2023年第25卷第2期

页      面：277-280页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：This study was supported by Capital's Funds for Health Improvement and Research(No.2022-2-4094) 

主　　题：epididymal obstruction obstructive azoospermia patency rate vasoepididymostomy 

摘      要：To design a treatment plan for patients with epididymal obstruction,we explored the potential impact of factors such as body mass index(BMI)and age on the surgical outcomes of vasoepididymostomy(VE).In this retrospective study,181 patients diagnosed with obstructive azoospermia(OA)due to epididymal obstruction between September 2014 and September 2017 were *** patients underwent single-armed microsurgical intussusception VEs with longitudinal two-suture placement performed by a single surgeon(KH)in a single hospital(Peking University Third Hospital,Beijing,China).Six factors that could possibly influence the patency rates were analyzed,including BMI,age,mode of anastomosis,site of anastomosis,and sperm motility and quantity in the intraoperative epididymal ***-factor outcome analysis was performed via Chi-square test and multivariable analysis was performed using logistic regression.A total of 159(87.8%,159/181)patients were followed *** follow-up time(mean±standard deviation[s.d.])was 27.7±9.3 months,ranging from 12 months to 48 *** overall patency rate was 73.0%(116/159).The multivariable analysis revealed that BMI and age significantly influenced the patency rate(P=0.008 and 0.028,respectively).Younger age(≤28 years;odds ratio[OR]=3.531,95%confidence interval[95%CI]:1.397–8.924)and lower BMI score(26.0 kg m−2;OR=2.352,95%CI:1.095–5.054)appeared to be associated with a higher patency *** and age were independent factors affecting the outcomes of microsurgical VEs depending on surgical expertise and the use of advanced technology.