Modified Vasoepididymostomy for Obstructive Azoospermia

M. M. Lindenbaum, B. Berk, S. D. Lundy

Vasoepididimostomy, Obstructive azoospermia, Modified, Microsurgical Reconstruction, Infertility

Introduction:

There are many causes of obstructive azoospermia. Vasectomy, iatrogenic (hernia repair or vasography with improper technique, scrotal trauma or injury, infections/inflammation, CVAD and Cystic fibrosis are the most common causes of OA. The diagnosis requires a normal testicular anatomy, presence of vasa and normal FSH and testosterone levels.

Objective:

Present the surgical management of obstructive azoospermia with a modified vasoepididymostomy

Methods:

we present the case of a 34 year old patient with primary infertility for 12 months. The only relevant history is that he had a previous bilateral hydrocelectomy in 2018. He had normal testicular anatomy and normal hormonal levels. Semen analysis showed azoospermia with normal volume ejaculate. We present the intraoperative findings and surgical management with a modified vasoepididmostomy.

Results:

The patient had excellent postoperative outcomes, with abundant motile sperm at 9 months post op.

Conclusions:

Microsurgical reconstruction is a viable options in many cases of obstructive azoospermia and remains the gold standard for vasal reconstruction.

None.

The authors have nothing to disclose