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Unsatisfactory Results of Epididymovasostomy for Post-Inflammatory Obstruction

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Issue Date
1980-12
Publisher
서울대학교 의과대학
Citation
Seoul J Med, Vol.21 No.4, pp. 407-412
Abstract
A total of 147 patients were treated surgically
for the correction of post-testicular azoospermias
due to epididymal obstruction during the past
17 years. Thirty-eight patients were operated
by the microsurgical technique and the remaining
patients were operated by the conventional
technique. The anatomical success rate was 29
%, and the functional success rate, 11% in the
130 patients who were followed-up for more than
1 year after the epididymovasostomy, The success
rates were higher in patients with nontuberculous
epididymitis than in patients with
tuberculous epididymitis. No significant differences
were found in both anatomical and functional
success rates by the anastomosis levels of
the epididymis. Our cbservation en failed epididymovasostcmy
at recperaticn revealed that
there were marked scar formation with sperm
and suture granulomas and blockage of the opening
of the original epididymal tubule at the
site of the previous anastomosis. It is, therefore,
ideal to attempt direct anastomosis between the
original epididymal tubule and the mucosal layer
of vas deferens.
ISSN
0582-6802
Language
English
URI
https://hdl.handle.net/10371/6685
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 21 No.4 (1980)
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