Patency Rates of Microsurgical Vasoepididymostomy for Patients With Idiopathic Obstructive Azoospermia: A Prospective Analysis of Factors Associated With Patency-Single-center Experience
Patency Rates of Microsurgical Vasoepididymostomy for Patients With Idiopathic Obstructive Azoospermia: A Prospective Analysis of Factors Associated With Patency-Single-center Experience
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DOI：
10.1016/j.urology.2011.09.034
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发表时间：
2012-01-01
期刊：
影响因子：
2.1
通讯作者：
Guo, Yinglu
中科院分区：
文献类型：
--
作者：
Peng, Jing;Yuan, Yiming;Guo, Yinglu
目的探讨影响特发性梗阻性无精子症显微附睾输精管吻合术通畅率的相关因素。平均年龄为30.9 ± 4.9岁（范围22-48岁）。通过术前或术中的临床结果分析结果：附睾充盈，单侧或双侧手术，吻合部位和附睾液findings. Results平均随访时间为13.5 +/- 5.3个月（范围4-22），53例患者（72.6%）。总通畅率为71.7%（n = 38）。附睾充盈、双侧手术、体部吻合、尾部吻合、活精子流液通畅率分别为87.2%、80.7%、78.8%、100%、83.7%。自然妊娠率为33.3%，在平均9.9 +/- 4.2 months的follow.CONCLUSION纵向肠套叠输精管附睾吻合术可以提供一个很好的通畅率，成功与附睾丰满，双侧手术，附睾远端吻合，和流动的流体与活动精子。泌尿学79：119-122，2012年。(C)2012 Elsevier Inc.
OBJECTIVE To evaluate the factors that might be associated with the patency rates of microsurgical vasoepididymostomy for idiopathic obstructive azoospermia.METHODS From January 2009 to July 2010, we evaluated the data from 73 men with obstructive azoospermia who had undergone longitudinal intussusception vasoepididymostomy. The mean age was 30.9 +/- 4.9 years (range 22-48). The outcomes were analyzed by the pre- or intraoperative clinical findings: epididymal fullness, unilateral or bilateral procedure, site of anastomosis, and epididymal fluid findings.RESULTS The mean follow-up was 13.5 +/- 5.3 months (range 4-22) for 53 patients (72.6%). The overall patency rate was 71.7% (n = 38). The patency rate was 87.2%, 80.7%, 78.8%, 100%, and 83.7% for epididymal fullness, bilateral surgery, corpus anastomosis, caudal anastomosis, and flowing fluid with motile sperm, respectively. The natural pregnancy rate was 33.3% at a mean of 9.9 +/- 4.2 months of follow-up.CONCLUSION Longitudinal intussusception vasopididymostomy can provide a good patency rate, with success associated with epididymal fullness, bilateral surgery, distal epididymal anastomosis, and flowing fluid with motile sperm. UROLOGY 79: 119-122, 2012. (C) 2012 Elsevier Inc.