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Updated: May 19, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia

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Clinically symptomatic vasitis: clinical correlations in a rare condition.

Raul I Clavijo¹, Jennifer Rose-Nussbaumer, Paul J Turek

¹Department of Urology, University of California-San Francisco, San Francisco, CA, USA.

Systems Biology in Reproductive Medicine

|October 23, 2010

Summary

Clinically diagnosed vasitis, or inflammation of the vas deferens, may be linked to prior herniorrhaphy and prostatectomy. Medical management with anti-inflammatories and antibiotics showed promise in improving symptoms.

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A Modified Vessel-Sparing Microsurgical Vasoepididymostomy

A Modified Vessel-Sparing Microsurgical Vasoepididymostomy

Published on: June 8, 2022

Area of Science:

Urology
Surgical Pathology

Background:

Vasitis, inflammation of the vas deferens, is a rare condition.
Pathologically diagnosed vasitis is linked to vasectomy, prostatectomy, and herniorrhaphy.
Clinical factors associated with symptomatic vasitis remain unclear.

Purpose of the Study:

To investigate clinical factors associated with clinically symptomatic vasitis.
To analyze associated risk factors from patient history, physical examination, and clinical course.
To examine clinical care patterns and treatment effectiveness.

Main Methods:

Retrospective series of 11 patients with clinically symptomatic vasitis.
Analysis of patient demographics, medical history, and prior surgical procedures.
Evaluation of clinical presentation, diagnostic findings, and treatment outcomes.

Main Results:

Mean patient age was 47 years; mean affected vas deferens diameter was 0.97 cm.
Associated procedures included herniorrhaphy (4), prostatectomy (2), perianal fistulectomy (1), and testicular biopsy (1).
Three patients were HIV positive; six were active smokers. Six patients improved with anti-inflammatories and antibiotics.

Conclusions:

Prior herniorrhaphy and prostatectomy may be risk factors for clinical vasitis.
HIV infection might also be a risk factor.
Anti-inflammatories and antibiotics show potential as effective treatments, warranting further investigation.