Vas deferens to rete testis anastomosis for obstructive azoospermia.

IF 3.1 3区 医学 Q1 UROLOGY & NEPHROLOGY
Francesco C Mesquita, Lucas R Campos, Luis Felipe Savio, Jason Codrington, Joshua Theodore White, David Velasquez, Akhil Muthigi, Ranjith Ramasamy
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Abstract

Purpose: This video aims to present an in-depth, step-by-step tutorial on microsurgical reconstruction for obstructive azoospermia, featuring a distinctive case involving anastomosis from vas deferens to rete testis. The primary aim of this endeavor is to offer thorough and practical insights for healthcare professionals and researchers within the realm of reproductive medicine. The video endeavors to disseminate expertise, methodologies, and perspectives that can be advantageous to individuals grappling with obstructive azoospermia, providing a significant contribution to the progress of reproductive medicine and the augmentation of existing treatment alternatives.

Materials and methods: Surgical footage was recorded using the ORBEYE 4K 3D Orbital Camera System by Olympus America, with patient consent acquired for research purposes. Additionally, a retrospective examination of patient records was undertaken to compile relevant medical histories.

Results: This video furnishes an exhaustive guide to microsurgical reconstruction for obstructive azoospermia, encompassing a distinctive instance of anastomosis from vas deferens to rete testis. State-of-the-art technology, such as the ORBEYE 4K 3D Orbital Camera, heightens procedural transparency, accentuating the significance of advanced instrumentation. The ethical underpinning is emphasized by obtaining patient consent for footage utilization, and a retrospective chart review augments the repository of valuable patient data. This comprehensive approach serves as an invaluable reservoir of knowledge for medical professionals and underscores excellence in clinical and ethical healthcare research.

Conclusions: Anastomosis from vas deferens to rete testis emerges as a viable surgical reconstruction alternative for obstructive azoospermia, particularly when confronted with non-dilated tubules within the epididymis.

输精管与后睾丸吻合术治疗梗阻性无精子症。
目的:本视频旨在深入浅出地介绍梗阻性无精子症显微手术重建的教程,以一个涉及输精管与前睾丸吻合的独特病例为特色。这项工作的主要目的是为生殖医学领域的医护人员和研究人员提供全面而实用的见解。该视频致力于传播专业知识、方法和观点,这些知识、方法和观点对与梗阻性无精子症作斗争的人很有帮助,为生殖医学的进步和现有治疗方法的扩充做出了重大贡献:使用美国奥林巴斯公司的 ORBEYE 4K 3D 轨道摄像系统记录手术录像,并征得患者同意用于研究目的。此外,还对患者病历进行了回顾性检查,以整理相关病史:本视频为梗阻性无精子症的显微外科重建提供了详尽的指南,包括输精管与前睾丸吻合的独特实例。最先进的技术,如 ORBEYE 4K 3D 轨道摄像机,提高了手术的透明度,突出了先进仪器的重要性。通过征得患者同意使用镜头,强调了伦理基础,而回顾性病历审查则增加了宝贵的患者资料库。这种全面的方法为医疗专业人员提供了宝贵的知识库,并彰显了临床和伦理医疗研究的卓越性:结论:输精管与后睾丸吻合术是治疗梗阻性无精子症的一种可行的外科重建替代方法,尤其是在附睾内有未扩张的小管的情况下。
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来源期刊
International Braz J Urol
International Braz J Urol UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
21.60%
发文量
246
审稿时长
6-12 weeks
期刊介绍: Information not localized
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