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Clinical observation of loupe-assisted intussusception vasoepididymostomy in the treatment of obstructive azoospermia(analysis of 49 case reports)

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Asian Journal of Andrology 2009年第2期11卷 193-199页

作者： Guo-Xi Zhang Wen-Jun Bai Ke-Xin Xu Xiao-Feng Wang Ji-Chuan Zhu Department of Urology People’s HospitalBeijing UniversityBeijing 100044China

To evaluate the clinical outcomes of loupe-assisted intussusception vasoepididymostomy(VE)in the treatment of epididymal obstructive azoospermia(EOA),we retrospectively analyzed data from 49 patients with EOA who underwent two-suture longitudinal intussusception vasoepididymostomy(LIVE)between 2000 and *** data included the surgical method,postoperative motile sperm count per ejaculation,percentage of progressive motile sperm and patency and pregnancy *** were a total of 49 men undergoing scrotal exploration,and epididymal obstruction was found in all *** or unilateral anastomoses were performed in 40 and 6 men,*** postoperative courses of 42 patients were followed up for more than 6 months,and the courses of 38 patients were followed up for more than 1 *** overall patency and pregnancy rates were 71.4%and 26.3%,***,progressive motile sperm was more frequently present in those patients who had undergone anastomosis at cauda than at corpus or *** was achieved only in those patients who had undergone anastomosis at least on one side of the cauda *** think that the loupe-assisted method,with a lower overall cost and a simplified surgical procedure,can achieve satisfactory patency outcomes and pregnancy *** from this paper also suggest that paternity outcomes occur more frequently after anastomoses at cauda than at corpus or caput.

关键词： epididymal obstructive azoospermia intussusception loupe-assisted vasoepididymostomy

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