| Autor: |
M. L. Hsieh, H. C. Huang, S. T. Huang, V. J. Chiang, Y. Chen, S.-H. Chu, P. L. Chang |
| Předmět: |
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| Zdroj: |
Archives of Andrology; Mar/Apr2005, Vol. 51 Issue 2, p141-148, 8p |
| Abstrakt: |
Several studies indicate that microsurgical modified one-layer vasovasostomy is comparable to the two-layer anastomosis with respect to patency and pregnancy rates. The objective of this study was to determine the feasibility and result of modified one-layer vasovasostomy under loupe magnification only. Thirty-two patients aged 28 to 64 years (mean 41.3 ± 6 years) underwent vasovasostomy at CGMH from July 1997 to June 2002, with all operations being a modified one-layer anastomosis created with the aid of a 3 × loupe. The estimated duration of vasectomy ranged from 4 months to 27 years, with a mean of 9.2 ± 4.8 years. Postoperative semen analysis and pregnancy were examined. Each patient was followed up at 1,4, and 12 weeks postoperatively. The total operation time ranged from 118 to 228 minutes (average 150 ± 35 minutes). There was no operation- related complication such as hematoma or wound infection. The patency rate was 89% (25/28), and the pregnancy rate at 2 years or more of follow-up was 39% (11/28). The patency and pregnancy rates were similar to those obtained in most studies of microsurgical vasovasostomy. For uncomplicated vasectomy reversal, this simple loupe-assisted modified one-layer vasovasostomy seems to provide an adequate anastomosis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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