ORIGINAL ARTICLE
Ahead of Print

Clinical features and microsurgical reconstruction of congenital unilateral absence of the vas deferens with obstructive azoospermia: a tertiary care center experience


1 Department of Andrology, The Center for Men's Health, Urologic Medical Center, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080, China
2 Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
3 Department of Andrology, Jiaozuo Maternity and Infant Health Hospital, Jiaozuo 454000, China

Correspondence Address:
Peng Li,
Department of Andrology, The Center for Men's Health, Urologic Medical Center, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080
China
Zheng Li,
Department of Andrology, The Center for Men's Health, Urologic Medical Center, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080
China
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aja20225

PMID: 35381699

Patients with congenital unilateral absence of the vas deferens (CUAVD) manifest diverse symptoms from normospermia to azoospermia. Treatment for CUAVD patients with obstructive azoospermia (OA) is complicated, and there is a lack of relevant reports. In this study, we describe the clinical features and evaluate the treatments and outcomes of CUAVD patients with OA. From December 2015 to December 2020, 33 patients were diagnosed as CUAVD with OA in Shanghai General Hospital (Shanghai, China). Patient information, ultrasound findings, semen analysis, hormone profiles, and treatment information were collected, and the clinical outcomes were evaluated. Of 33 patients, 29 patients were retrospectively analyzed. Vasoepididymostomy (VE) or cross VE was performed in 12 patients, the patency rate was 41.7% (5/12), and natural pregnancy was achieved in one of the patients. The other 17 patients underwent testicular sperm extraction as the distal vas deferens (contralateral side) was obstructed. These findings showed that VE or cross VE remains an alternative treatment for CUAVD patients with OA, even with a relatively low rate of patency and natural pregnancy.


[FULL TEXT] [PDF]
Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Zhou YH
    -  Dong JJ
    -  Zhi EL
    -  Yao CC
    -  Huang YH
    -  Tian RH
    -  Chen HX
    -  Dai YB
    -  Tang YX
    -  Liu NC
    -  Chen HR
    -  Zhao FJ
    -  Li Z
    -  Li P
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed479    
    PDF Downloaded18    

Recommend this journal