V1592 MODIFIED INTUSSUSCEPTION VASOEPIDIDYMOSTOMY: DOES IT HAS BENEFITS?

Abstract

You have accessJournal of UrologyInfertility, Sexual Dysfunction and Testis1 Apr 2013V1592 MODIFIED INTUSSUSCEPTION VASOEPIDIDYMOSTOMY: DOES IT HAS BENEFITS? yan zhang, hao zhang, Cheng Hu, Wen-Tao Huang, Xiaopeng Liu, Liao-Yuan Li, and Xin Gao yan zhangyan zhang Guangzhou, China, People's Republic of More articles by this author , hao zhanghao zhang Guangzhou, China, People's Republic of More articles by this author , Cheng HuCheng Hu Guangzhou, China, People's Republic of More articles by this author , Wen-Tao HuangWen-Tao Huang Guangzhou, China, People's Republic of More articles by this author , Xiaopeng LiuXiaopeng Liu Guangzhou, China, People's Republic of More articles by this author , Liao-Yuan LiLiao-Yuan Li Guangzhou, China, People's Republic of More articles by this author , and Xin GaoXin Gao Guangzhou, China, People's Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3142AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Two-suture intussusception vasoepididymostomy does not achieve water-tight anastomosis with 4 dot sewing. We modifide the two-suture intussusception vasoepididymostomy by adding another two suture to prevent the potential leakage and decrease the late failure rate. METHODS Between June 2012 to October 2012, 9 patients with epididymal obstructive azoospermia were enrolled in this study. In order to make the waterproof anastomosis, after two double-armed 10-0 parallel sutures were placed and epididymal tube incision was made between them as described previously, we add another two 11-0 sutures through the epididymal incision corresponding the 6 o'clock and 12 o'clock of the distal vas respectively. The six needles attached to the suture were passed into the vas lumen and brought out through the muscularis (Firstly the needle of the third, the initially two and then the fourth suture sequentially). The initially passed two sutures were tied first to achieve the intussusception, and then the other two were tied to accomplish the water-proof procedure. RESULTS A semen analysis was obtained 1 to 3 months postoperatively in 6 compliable patients, sperm were found in the ejaculates of 3of 6 (50%). CONCLUSIONS Because the follow up was too short, the modified intussusception vasoepididymostomy has not shown the evident superiority compare to two-suture intussusception vasoepididymostomy, however, further studies with large sample and long-term follow up are needed to testify the effectiveness of this technique. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e654 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information yan zhang Guangzhou, China, People's Republic of More articles by this author hao zhang Guangzhou, China, People's Republic of More articles by this author Cheng Hu Guangzhou, China, People's Republic of More articles by this author Wen-Tao Huang Guangzhou, China, People's Republic of More articles by this author Xiaopeng Liu Guangzhou, China, People's Republic of More articles by this author Liao-Yuan Li Guangzhou, China, People's Republic of More articles by this author Xin Gao Guangzhou, China, People's Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...