Objective: To analysis the clinical patency rates of microsurgical
intussuception vasoepididymostomy for patients with
Methods: we retrospectively analyzed data and surgical
procedure from 19 patients with obstructive azoospermia
between 2008 and 2011. The data included medical record,
physical examination, sperm analysis (twice at lest and once after
centrifugation, including volum, PH, liquefaction of seminal
plasma), seminal plasma biochemistry group item (fructose,
neutral alpha-glucosidase, elastase), scrotal and transanal
ultrasound, serum reproductive hormones,testicular biopsy.
The clinical data predicated the causes and sites of obstruction.
Treatment were based on the data.
Results: There were a total of 19 cases undergoing microsurgical
intussuception vasoepididymostomy The mean follow-up was
9.3±4.3 months (range 3-19). The overall patency rate was
78%. The patency rate was 94% (n=16), 0% (n=3) for single
obstruction and epididymal fullness on each side, multiple
obstruction on each side, respectively.
Conclusions: Intussusception vasoepididymostomy can provide
a good patency rate for patients with single obstruction and
epididymal fullness on each side, but multiple obstruction on
each side isn't suitable for vasopididymostomy.