Vasovasostomia microcirúrgica: a nossa experiência

Acta Urológica Portuguesa Pub Date : 2015-09-01 DOI:10.1016/j.acup.2015.07.003

Vítor Oliveira, Rui Amorim, Paulo Espiridião, Jorge Dias, Luís Xambre, Luís Ferraz

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引用次数: 0

Abstract

Objectives

To describe the initial experience of CHVNG/E in microsurgical vasovasostomy.

Methods

The two‐layer technique was applied under microscope magnification in every patient by the same surgeon.

Results

8 bilateral vasovasostomies were performed for vasectomy reversal between 2008 and 2014 at our unit. All the patients were available for follow‐up, with a mean follow‐up time of 6 months. Mean patient age was 38.8 ± 8.7 years and the interval between vasectomy and recanalization of 6 ± 1.5 years. Overall spermatozoid patency rate was 100%, with mobile spermatozoa in the ejaculate of all patients (median 12 x 10⁶/mL, interquartile interval [7 x 10⁶/mL‐21 x 10⁶/mL]). Four of the 8 patients fathered after the procedure.

Conclusions

Our results were comparable to the ones described in the literature, confirming the performance of a good surgical technique.

Microsurgical vasovasostomy constitutes a very safe method of vasectomy reversal, enabling couples to obtain pregnancies without additional medical treatment.

To our knowledge, this is the first group of patients treated by this method in Portugal.

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显微外科血管造口术:我们的经验

目的探讨CHVNG/E在显微外科血管吻合术中的初步应用经验。方法同一位外科医生对每例患者在显微镜下进行两层穿刺。结果2008年至2014年，我院共行双侧输精管输精管吻合术8例。所有患者均可随访，平均随访时间为6个月。患者平均年龄38.8±8.7岁，输精管结扎与输精管再通间隔6±1.5年。总体精子通畅率为100%，所有患者的射精中均有活动精子(中位数为12 × 106/mL，四分位数间隔[7 × 106/mL - 21 × 106/mL])。8名患者中有4名在手术后生育。结论我们的结果与文献中描述的结果相当，证实了一种良好的手术技术。显微外科输精管造口术是一种非常安全的输精管结扎逆转方法，使夫妇无需额外的医疗即可怀孕。据我们所知，这是葡萄牙第一批采用这种方法治疗的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Urológica Portuguesa

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