Crossover transseptal vasovasostomy: alternative for very selected cases of iatrogenic injury to vas deferens

International Brazilian Journal of Urology

关键词: Azoospermia;    Herniorrhaphy;    Infertility;    Vasovasostomy;   

DOI  :  10.1590/s1677-5538.ibju.2018.0445

来源: DOAJ

【 摘 要 】

ABSTRACT Inguinal herniorraphy is a possible cause of iatrogenic seminal tract obstruction. Diagnosing and correcting these vasal injuries can be challenging. Successful re-anastomosis is technically challenging, with relatively low success rates. An uncommon alternative for selected cases is the crossover transseptal vasovasostomy. We herein report a case of a 36-year-old male patient with vas deferens injury after herniorraphy and a contralateral hypotrophic testis. He was successfully treated through microsurgical crossover transseptal vasovasostomy, with spontaneous pregnancy achieved, and the technique is presented in details.

【 授权许可】

Unknown