A study of 123 patients who had complete azoospermia and in whom either exploration of the scrotal content or corrective sugery was performed is reported. Azoospermia was caused by a variety of factors (incomplete or improper development of the ductal system, obstruction in the epididymis or in the vas as a result of postinflammatory constriction, occlusion of the lumen or the ejaculatory ducts, and inadvertent or purposeful division of the vasa). Operation to relieve vasoepididymal obstruction is indicated only the presence of a normally functioning testicle. There are 4 types of operations for the correction of sterility. If these operations are unsuccessful it is possible to bring the free and cut ends of the vas into the midline of the scrotum and then allow them to empty continuously into and inverted skin pouch to create a reservoir of sperm for artificial insemination. In this series there were 61 patients in whom there was sufficiently hopeful indication for success to warrent bilateral or unilateral epididymovas anastomosis. In only 23 of these could it be said that there was complete success. Only 5 of these men were able to effect pregnancy. Reanastomosis of the vas after prior voluntary sterilization resulted
Mechanical aspects and surgical management of sterility in men.
Abstract
A study of 123 patients who had complete azoospermia and in whom either exploration of the scrotal content or corrective sugery was performed is reported. Azoospermia was caused by a variety of factors (incomplete or improper development of the ductal system, obstruction in the epididymis or in the vas as a result of postinflammatory constriction, occlusion of the lumen or the ejaculatory ducts, and inadvertent or purposeful division of the vasa). Operation to relieve vasoepididymal obstruction is indicated only the presence of a normally functioning testicle. There are 4 types of operations for the correction of sterility. If these operations are unsuccessful it is possible to bring the free and cut ends of the vas into the midline of the scrotum and then allow them to empty continuously into and inverted skin pouch to create a reservoir of sperm for artificial insemination. In this series there were 61 patients in whom there was sufficiently hopeful indication for success to warrent bilateral or unilateral epididymovas anastomosis. In only 23 of these could it be said that there was complete success. Only 5 of these men were able to effect pregnancy. Reanastomosis of the vas after prior voluntary sterilization resultedPreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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Mechanical aspects and surgical management of sterility in men.
O'conor, V. J.
Journal of the American Medical Association
MEDLINE Abstracts – Oct 10, 1953
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