Incidence of aetiological factors in testicular obstructive azoospermia

Testicular exploration was performed in 225 azoospermic men with normal sized testes and normal serum levels of FSH. Thirty-one men had impaired spermatogenesis and the cause of obstruction was found in 46% of the subjects. Thirty-two men had a history of genital tract infection while 18 had a history of genital or inguinal surgery. A history of chest disease was noted in 25 men with obstructive azoospermia. Aplasia of the vasa was present in 9.3% of the group. The epididymis was the site of obstruction in 63% of patients but the cause of epididymal obstruction was unknown in 81 of the 141 men.