| Literature DB >> 3525857 |
Abstract
A total of 624 of 699 vasovasostomy patients was followed during the last 20 years. Better results were obtained when there was shorter duration of obstruction, bilateral straight vas-to-straight was anastomosis and bilateral presence of sperm in the vas fluid during vasovasostomy. Results of end-to-end and side-to-side macrosurgical anastomosis, as well as of 1-layer and 2-layer microsurgical anastomosis were similar. Macrosurgical success rates were 84 per cent for patency and 35 per cent for pregnancy in the 300 cases. Microsurgical success rates were 90 per cent for patency and 51 per cent for pregnancy in 324 cases. Failure of patency was caused mainly by anastomotic scar formation with sperm and suture granulomas. Failure of pregnancy was owing mainly to inadequate postoperative semen quality.Entities:
Keywords: Age Distribution; Asia; Biology; Developing Countries; Eastern Asia; Evaluation; Examinations And Diagnoses; Family Planning; Genitalia; Genitalia, Male; Korea; Korea, Republic Of; Laboratory Examinations And Diagnoses; Laboratory Procedures; Male Urologic Surgery; Microsurgery; Physiology; Population Characteristics; Reversible Sterilization; Semen--analysis; Seminal Vesicles; Sperm Count; Sterilization Reversal; Sterilization, Sexual; Surgery; Treatment; Urogenital Surgery; Urogenital System; Vas Reanastomosis
Mesh：
Year: 1986 PMID： 3525857 DOI： 10.1016/s0022-5347(17)44887-7
Source DB: PubMed Journal: J Urol ISSN： 0022-5347 Impact factor: 7.450