Longitudinal intussusception versus end-to-side vasoepididymostomy:Comparison of their recanalization rates
10.13263/j.cnki.nja.2024.11.006
- VernacularTitle:显微附睾-输精管吻合两种不同术式复通率的比较
- Author:
Lu-Gang ZHAO
1
;
Hong CHEN
;
Gui-Hua LIU
;
Cong FANG
;
Xiao-Yan LIANG
;
Jing ZHANG
Author Information
1. 中山大学附属第六医院生殖医学中心/广州市黄埔区中六生物医学创新研究院,广东 广州 510655
- Keywords:
obstructive azoospermia;
vasoepididymostomy;
2-suture longitudinal intussusceptions vasoepididymostomy;
end-to-side vasoepididymostomy;
microsurgery;
recanalization rate
- From:
National Journal of Andrology
2024;30(11):1002-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the recanalization rate of 2-suture longitudinal intussusception vasoepididymostomy(LIVE)with that of4-suture end-to-side vasoepididymostomy(ESVE).Methods:This retrospective case-control study included 127 cases of obstructive azoospermia(OA)treated by LIVE(n=87)or ESVE(n=40)in our Center of Reproductive Medicine from October 2013 to July 2024.We analyzed the clinical data and compared the age,testis volume,level of serum follicle-stimulating hormone(FSH),operation time and postoperative recanalization rate between the two groups.Results:Spermatozoa were observed in 90(70.9％)of the 127 cases after surgery.There were no statistical differences in age,testis volume and FSH between the two groups of patients(all P＞0.05),and nor were there any serious surgical complications.The operation time was significantly longer in the ESVE than in the LIVE group(22.0[20.0-25.8]vs 17.0[15.0-23.0]min,P＜0.05),while the postoperative recanalization rate remarkably higher in the former than in the latter group(85.0％vs 64.4％,P＜0.05).Vasoepididymostomy was performed at the caput epididymis in 11 cases,with a higher recanalization rate in the ESVE than in the LIVE group(50.0％[1/2]vs 33.3％[3/9]).Conclusion:ESVE achieved a higher postoperative recanalization rate than LIVE in the treatment of OA,but its advanta-ges need further investigation.
