Laparoscopy‐assisted vasovasostomy for post‐herniorrhaphy vas deferens obstruction
| Autor: | Kazumitsu Yamasaki, Teruaki Iwamoto, Kosuke Kojo, Masahiro Uchida, Kazuhiko Hoshi, Shuichi Iida, Haruki Tsuchiya, Jun Miyazaki |
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| Rok vydání: | 2020 |
| Předmět: |
endocrine system
medicine.medical_specialty Urology medicine.medical_treatment laparoscopy Case Report Obstructive azoospermia Case Reports Semen analysis lcsh:RC870-923 urologic and male genital diseases Intracytoplasmic sperm injection medicine reproductive and urinary physiology herniorrhaphy Azoospermia medicine.diagnostic_test urogenital system business.industry vasovasostomy Vasovasostomy Vas deferens lcsh:Diseases of the genitourinary system. Urology medicine.disease Sperm Inguinal hernia medicine.anatomical_structure business vas deferens |
| Zdroj: | IJU Case Reports, Vol 3, Iss 2, Pp 72-75 (2020) IJU Case Reports |
| ISSN: | 2577-171X |
| DOI: | 10.1002/iju5.12150 |
| Popis: | Introduction Repair of obstructive azoospermia caused by childhood herniorrhaphy may be difficult. Therefore, intracytoplasmic sperm injection using testicular sperm is performed. However, vasovasostomy combined with laparoscopic surgery is challenging. Case presentation A 42-year-old man underwent inguinal hernia repair at age 3. He had normal testicular size, azoospermia, normal hormone levels (follicle-stimulating hormone, luteinizing hormone, and testosterone), absence of Y chromosome micro deletion, and karyotype:46XY, t(1:21)(p34.1:q22.3). He was diagnosed with obstructive azoospermia. Repeated intracytoplasmic sperm injections using testicular sperm resulted in miscarriages. Vasovasostomy combined with laparoscopic surgery was subsequently performed. Postoperative semen analysis result was almost normal. After intracytoplasmic sperm injection of ejaculated sperm, his wife got pregnant. Conclusion Even if patients have chromosomal abnormalities, performing microsurgical re-anastomosis first is recommended. To our knowledge, this is the first case of a laparoscopy-assisted vasovasostomy for post-herniorrhaphy vas deferens obstruction in Japan. |
| Databáze: | OpenAIRE |
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