Modified double-armed suture technique for microsurgical vasoepididymostomy and its clinical efficacy
10.3760/cma.j.cn101441-20190528-00212
- VernacularTitle:改良双针缝线显微输精管附睾吻合术与疗效评价
- Author:
Xiaobo ZHU
1
;
Xiangsheng ZHANG
1
;
Shilong ZHANG
1
;
Xin CHEN
1
;
Guoxiao CHEN
1
Author Information
1. 河南省人民医院男科与能量医学科，郑州大学人民医院，河南大学人民医院 450003
- Publication Type:Journal Article
- Keywords:
Vasoepididymostomy;
Obstructive azoospermia;
Microsurgery
- From:
Chinese Journal of Reproduction and Contraception
2020;40(3):230-233
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical efficacy of modified double-armed suture technique for microsurgical vasoepididymostomy in patients with epididymal obstructive azoospermia (EOA).Methods:The retrospective study included 118 cases with EOA who underwent microsurgical vasoepididymostomy by using modified double-armed suture technique from November 2013 to November 2017, the perioperative complication, the patency rate and the pregnancy rate were analyzed.Results:The operating time was （217±56） min. No severe adverse events or complications like spermatocele were observed. Semen analyses were preformed 3 months, 6 months, 9 months, 12 months and 18 months after operation. The density of sperm was （25.1±11.5）×10 6/mL on 18 months after operation, the sperm motility was (38.2±16.4)%, the patency rate was 70.9% (73/103), the pregnancy rate was 38.8% (40/103). Ten couples had healthy babies birth by natural pregnancy. Conclusion:Modified double-armed suture technique is an efficacy and safety technique in treating EOA. It's a practical alternative in the areas without the specialized double-armed sutures.
