Abstract
To report a case of a man presenting with rapidly progressing inguinal vasal obstruction 5 years after bilateral herniorrhaphy with polypropylene mesh. Case report with a review of the scientific literature. Male infertility clinic, Kobe University Hospital (Kobe, Japan). A 30-year-old patient who had undergone bilateral inguinal herniorrhaphy using polypropylene mesh 5 years previously. The patient underwent bilateral vasography and left testicular sperm extraction (TESE). Long-term effects of the adult inguinal herniorrhaphy with polypropylene mesh. Rapid progression of vas deferens obstruction occurred within several months. We performed left TESE for intracytoplasmic sperm injection (ICSI) and retrieved many motile sperm. Before azoospermia, men who undergo inguinal herniorrhaphy using polypropylene mesh need to rapidly cryopreserve their sperm for future fertility; TESE-ICSI is also a selectable treatment.
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