| Autor: |
Feber KM; Madigan Army Medical Center, Tacoma, Washington, USA., Ruiz HE |
| Jazyk: |
angličtina |
| Zdroj: |
Techniques in urology [Tech Urol] 1999 Mar; Vol. 5 (1), pp. 8-11. |
| Abstrakt: |
The objective of this study was to review our 5-year experience with macroscopic vasovasostomy. A series of 160 consecutive patients who underwent macroscopic vasovasostomies between 1991 and 1996 at Madigan Army Medical Center were studied. A modified one-layer anastomotic technique using 7-0 or 8-0 Prolene sutures was utilized. Results showed that 87% of patients who underwent bilateral vasectomy reversal showed return of sperm to the ejaculate with a mean progressive sperm motility of 32.2%. Clinical success was measured by successful pregnancies in 50% of patients in whom <5 years had elapsed since vasectomy. The average operative time was 1 hour 15 minutes. Although slightly better results have been obtained using the microscopic approach, vasovasostomy performed under loupe magnification has the advantage of reduced cost, decreased operative time, and a lower operator skill level. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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