Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Seminal tract reconstruction: 15 years experience]

L V Wagenknecht1

  • 1Deutsche Gesellschaft für Andrologie, Hamburg, Allemagne.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Differential therapies in various stages of penile induration.

Archivos espanoles de urologia·1996
Same author

Alloplastic spermatocele: 20 years experience and perspectives.

Acta chirurgica Hungarica·1994
Same author

[The microsurgical reconstruction of the seminal pathways].

Il Giornale di chirurgia·1991
Same author

Microsurgical arterialization for vascular impotence.

European urology·1989
Same author

New treatment of increased venous drainage in organic impotence: ligation of internal iliac veins.

European urology·1989
Same author

Microsurgical arterialization for vascular impotence.

Microsurgery·1988

Surgical repair of obstructive azoospermia, including epididymo-vasostomy and vaso-vasostomy, can restore patency and fertility. Surgical technique and surgeon experience significantly impact success rates for men with blocked reproductive tracts.

Area of Science:

  • Urology
  • Andrology
  • Surgical Science

Context:

  • Excretory azoospermia, characterized by normal FSH and testicular size, indicates surgical intervention for obstruction.
  • Over 15 years, 642 men underwent epididymo-vasostomy for inflammatory, inborn, or acquired epididymal obstructions.
  • Vaso-vasostomy was performed in 724 men, primarily for post-sterilization or post-herniotomy obstructions.

Purpose:

  • To evaluate the success rates of surgical interventions for obstructive azoospermia.
  • To analyze factors influencing patency and fertility following reconstructive surgery.
  • To highlight techniques and outcomes for improving surgical success in azoospermia treatment.

Summary:

  • Epididymo-vasostomy achieved patency rates of 11-76% and fertility in 0-52% of cases, varying by anastomosis location.

Related Experiment Videos

  • Vaso-vasostomy demonstrated higher patency (52-92%) and fertility (38-74%) depending on obstruction duration.
  • Improved outcomes were noted with double-layered anastomosis, fibrin glue, and tension-avoiding surgical techniques. Testicular transposition was successful in some long-obstruction cases.

    • Impact:

    • Surgical success is significantly correlated with the frequency of the procedure, underscoring the importance of surgeon experience.
    • Obstruction duration negatively impacts postoperative spermiogram quality.
    • Sperm autoantibody levels were elevated in only 3% of cases and often normalized post-surgery.