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Updated: Feb 5, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
Published on: May 27, 2022
[Microsurgical management of obstructive azoospermia: Progress and prospects]
Peng Li1,2, Zheng Li1, Philip S Li2,3
1Department of Andrology, Medical Center of Urology / Center for Men's Health Evaluation, Shanghai Jiao Tong University Research Institute of Urology / Shanghai Key Laboratory of Reproductive Medicine, The First People's Hospital of Shanghai Jiao Tong University, Shanghai 200080, China.
Surgical reconstruction of the seminal tract offers new hope for couples facing male infertility due to obstructive azoospermia. Advances in microsurgery, laparoscopy, and robotic techniques improve natural pregnancy chances.
Area of Science:
- Reproductive Medicine
- Urology
- Surgical Technology
Background:
- Obstructive azoospermia affects many infertile couples.
- Assisted reproductive technologies have advanced significantly.
- Microsurgery for male infertility has seen major progress.
Purpose of the Study:
- To highlight recent surgical reconstruction advances for obstructive azoospermia.
- To discuss novel techniques and materials in seminal tract repair.
Main Methods:
- Review of laparoscopic and robotic techniques in seminal tract reconstruction.
- Discussion of microsurgical epididymal sperm aspiration and preservation.
- Exploration of absorbable sutures and bio-suture tape for anastomosis.
Main Results:
- Surgical reconstruction provides opportunities for natural pregnancy.
- Minimally invasive and advanced techniques enhance treatment efficacy.
- New materials may improve microsurgical anastomosis outcomes.
Conclusions:
- Surgical reconstruction is a viable option for obstructive azoospermia.
- Technological advancements are expanding treatment possibilities.
- Further research into novel materials and techniques is warranted.
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