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Laparoscopy-assisted vasovasostomy for post-herniorrhaphy vas deferens obstruction
Masahiro Uchida1,2, Shuichi Iida3,4, Kazuhiko Hoshi3
1Reproduction Center International University of Health and Welfare Hospital Nasushiobara Japan.
IJU Case Reports
|August 4, 2020
Summary
Microsurgical re-anastomosis is recommended for obstructive azoospermia post-herniorrhaphy, even with chromosomal abnormalities. This case demonstrates successful laparoscopy-assisted vasovasostomy, leading to pregnancy after previous intracytoplasmic sperm injection failures.
Area of Science:
- Reproductive Medicine
- Urology
- Surgical Innovation
Background:
- Childhood herniorrhaphy can lead to obstructive azoospermia, complicating fertility.
- Intracytoplasmic sperm injection (ICSI) using testicular sperm is a common treatment, but may not always be successful.
- Vasovasostomy combined with laparoscopic surgery presents unique surgical challenges.
