Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases
Objective To summarize the clinical features and treatment of iatrogenic vas deferens injury in the inguinal region. Methods Between January, 2014 and June, 2018, we collected the data of 17 patients treated in our hospital for obstructive azoospermia resulting from a previous inguinal hernia surger...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Third Military Medical University
2019-07-01
|
| Series: | Di-san junyi daxue xuebao |
| Subjects: | |
| Online Access: | http://aammt.tmmu.edu.cn/Upload/rhtml/201901174.htm |
| _version_ | 1823941012653867008 |
|---|---|
| author | FENG Qingxing CHENG Feng LI Yanfeng HU Zhengwei CAO Quanfu |
| author_facet | FENG Qingxing CHENG Feng LI Yanfeng HU Zhengwei CAO Quanfu |
| author_sort | FENG Qingxing |
| collection | DOAJ |
| description | Objective To summarize the clinical features and treatment of iatrogenic vas deferens injury in the inguinal region. Methods Between January, 2014 and June, 2018, we collected the data of 17 patients treated in our hospital for obstructive azoospermia resulting from a previous inguinal hernia surgery for analysis of their clinical features, findings by surgical exploration, and characteristics of vas deferens injuries. All the patients underwent microsurgical vas deferens anastomosis and the mid-term and long-term outcomes of the patients were followed up. Results Fourteen of the 17 patients underwent vasovasostomy or vasoepididymostomy successfully. The patients were followed up for a mean of 19.6±9.5 months after the microsurgeries, and recanalization was achieved in 13 patients with a mean sperm count of (33.1±25.6)×106/L; natural conception of the spouses was achieved in 6 cases after the surgeries. Conclusions Inguinal hernia surgery is one of the main causes of vas deferens obstruction to result in obstructive azoospermia, and recanalization can be achieved in the majority of such cases by microvasectomy. |
| first_indexed | 2024-12-17T04:21:47Z |
| format | Article |
| id | doaj.art-c67358ab9fe7466daacba3f964f7379b |
| institution | Directory Open Access Journal |
| issn | 1000-5404 |
| language | zho |
| last_indexed | 2024-12-17T04:21:47Z |
| publishDate | 2019-07-01 |
| publisher | Editorial Office of Journal of Third Military Medical University |
| record_format | Article |
| series | Di-san junyi daxue xuebao |
| spelling | doaj.art-c67358ab9fe7466daacba3f964f7379b2022-12-21T22:03:51ZzhoEditorial Office of Journal of Third Military Medical UniversityDi-san junyi daxue xuebao1000-54042019-07-0141141365136910.16016/j.1000-5404.201901174Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 casesFENG Qingxing0CHENG Feng1LI Yanfeng2HU Zhengwei3CAO Quanfu4Department of Urology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, 400042, ChinaDepartment of Urology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, 400042, ChinaDepartment of Urology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, 400042, ChinaDepartment of Urology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, 400042, ChinaDepartment of Urology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, 400042, ChinaObjective To summarize the clinical features and treatment of iatrogenic vas deferens injury in the inguinal region. Methods Between January, 2014 and June, 2018, we collected the data of 17 patients treated in our hospital for obstructive azoospermia resulting from a previous inguinal hernia surgery for analysis of their clinical features, findings by surgical exploration, and characteristics of vas deferens injuries. All the patients underwent microsurgical vas deferens anastomosis and the mid-term and long-term outcomes of the patients were followed up. Results Fourteen of the 17 patients underwent vasovasostomy or vasoepididymostomy successfully. The patients were followed up for a mean of 19.6±9.5 months after the microsurgeries, and recanalization was achieved in 13 patients with a mean sperm count of (33.1±25.6)×106/L; natural conception of the spouses was achieved in 6 cases after the surgeries. Conclusions Inguinal hernia surgery is one of the main causes of vas deferens obstruction to result in obstructive azoospermia, and recanalization can be achieved in the majority of such cases by microvasectomy.http://aammt.tmmu.edu.cn/Upload/rhtml/201901174.htmnguinal herniaobstructive azoospermiaiatrogenic injurymicrosurgeryvas deferens/ vasovasostomy |
| spellingShingle | FENG Qingxing CHENG Feng LI Yanfeng HU Zhengwei CAO Quanfu Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases Di-san junyi daxue xuebao nguinal hernia obstructive azoospermia iatrogenic injury microsurgery vas deferens/ vasovasostomy |
| title | Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases |
| title_full | Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases |
| title_fullStr | Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases |
| title_full_unstemmed | Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases |
| title_short | Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases |
| title_sort | treatment of obstructive azoospermia after inguinal hernia surgery analysis of 17 cases |
| topic | nguinal hernia obstructive azoospermia iatrogenic injury microsurgery vas deferens/ vasovasostomy |
| url | http://aammt.tmmu.edu.cn/Upload/rhtml/201901174.htm |
| work_keys_str_mv | AT fengqingxing treatmentofobstructiveazoospermiaafteringuinalherniasurgeryanalysisof17cases AT chengfeng treatmentofobstructiveazoospermiaafteringuinalherniasurgeryanalysisof17cases AT liyanfeng treatmentofobstructiveazoospermiaafteringuinalherniasurgeryanalysisof17cases AT huzhengwei treatmentofobstructiveazoospermiaafteringuinalherniasurgeryanalysisof17cases AT caoquanfu treatmentofobstructiveazoospermiaafteringuinalherniasurgeryanalysisof17cases |