Microsurgical management of obstructive azoospermia: Progress and prospects.
- Author:
Peng LI
1
;
Zheng LI
1
;
Philip S LI
2
Author Information
1. Department of Andrology, Medical Center of Urology / Center for Men's Health Evaluation, Shanghai Jiao Tong University Research Institute of Urology / Shanghai Key Laboratory of Reproductive Medicine, The First People's Hospital of Shanghai Jiao Tong University, Shanghai 200080, China.
2. Center for Male Reproductive Medicine and Microsurgery, Department of Urology, Cornell Institute for Reproductive Medicine, Weill Cornell Medicine of Cornell University, New York Presbyterian University Hospitals for Columbia and Cornell, New York, NY 10065, USA.
- Publication Type:Journal Article
- Keywords:
microsurgery;
vasoepididymostomy;
vasovasostomy;
obstructive azoospermia
- MeSH:
Azoospermia;
surgery;
Female;
Humans;
Infertility, Male;
surgery;
Laparoscopy;
Male;
Microsurgery;
methods;
Pregnancy;
Reproductive Techniques, Assisted;
Robotic Surgical Procedures;
Seminal Vesicles;
surgery;
Sperm Retrieval;
Sutures
- From:National Journal of Andrology
2018;24(7):579-288
- CountryChina
- Language:Chinese
-
Abstract:
In the past two decades, with the rapid development of assisted reproductive technology and particularly the technological advances in male infertility microsurgery, many obstructive azoospermia-related infertile couples can now acquire the chances of natural pregnancy via reconstruction of the seminal tract. This article highlights the latest advances in surgical reconstruction of the seminal tract for the treatment of obstructive azoospermia, such as the application of laparoscopic and robotic techniques, with a discussion on microsurgical epididymal sperm aspiration and preservation, potential use of absorbable sutures or the bio-suture tape for microsurgical anastomosis in the management of obstructive azoospermia.
