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Epididymovasostomy
Author(s) -
Jarow Jonathan P.
Publication year - 1995
Publication title -
microsurgery
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920160509
Subject(s) - medicine , vasectomy , vasovasostomy , anastomosis , microsurgery , surgery , rete testis , azoospermia , fertility , epididymis , gynecology , sperm , andrology , population , infertility , family planning , pregnancy , genetics , environmental health , biology , research methodology
There are a variety of causes of epididymal obstruction, but the most frequent indication for epididymovasostomy today is obstruction following vasectomy. We have seen significant advances over the last few decades in our techniques for reconstructing the proximal excurrent ductal system in order to restore sperm to the ejaculate and fertility in men with azoospermia secondary to epididymal obstruction. The patency rates for epididymovasostomy have improved significantly with the use of microsurgical techniques and specific tubule anastomosis. The level of anastomosis plays a crucial role in eventual fertility. These microsurgical techniques are tedious and difficult to master but practice and meticulous attention to detail are rewarded by excellent results.