Format

Send to

Choose Destination
J Urol. 1995 Dec;154(6):2070-3.

Patency following microsurgical vasoepididymostomy and vasovasostomy: temporal considerations.

Author information

1
Department of Urology, New York Hospital-Cornell Medical Center, New York 10021, USA.

Abstract

PURPOSE:

We evaluate the temporal parameters of patency following vasoepididymostomy and vasovasostomy.

MATERIALS AND METHODS:

A series of consecutive and concurrent vasoepididymostomies (100) and vasovasostomies (100) performed by a single surgeon (M. G.) was reviewed.

RESULTS:

Patency rates following vasoepididymostomy and vasovasostomy were 65% and 99%, respectively (p < 0.001). Motile sperm were observed at a mean of 5.8 +/- 0.8 months (standard error) following vasoepididymostomy and 2.1 +/- 0.2 months following vasovasostomy (p < 0.01). Late failure rates were 21% for vasoepididymostomy and 12% for vasovasostomy. Pregnancy rates following vasoepididymostomy and vasovasostomy were 21% and 52%, respectively.

CONCLUSIONS:

Patency is rapid following vasovasostomy but requires 12 or more months following vasoepididymostomy. Intervention for azoospermia is appropriate 6 months after vasovasostomy and 1 year after vasoepididymostomy. Intraoperative cryopreservation of sperm in men undergoing vasoepididymostomy and postoperatively in all men with motile sperm will maximize fertility options.

PMID:
7500460
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center