{"title":"显微外科血管造口术:我们的经验","authors":"Vítor Oliveira, Rui Amorim, Paulo Espiridião, Jorge Dias, Luís Xambre, Luís Ferraz","doi":"10.1016/j.acup.2015.07.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the initial experience of CHVNG/E in microsurgical vasovasostomy.</p></div><div><h3>Methods</h3><p>The two‐layer technique was applied under microscope magnification in every patient by the same surgeon.</p></div><div><h3>Results</h3><p>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<!--> <!-->10<sup>6</sup>/mL, interquartile interval [7<!--> <!-->x<!--> <!-->10<sup>6</sup>/mL‐21<!--> <!-->x<!--> <!-->10<sup>6</sup>/mL]). Four of the 8 patients fathered after the procedure.</p></div><div><h3>Conclusions</h3><p>Our results were comparable to the ones described in the literature, confirming the performance of a good surgical technique.</p><p>Microsurgical vasovasostomy constitutes a very safe method of vasectomy reversal, enabling couples to obtain pregnancies without additional medical treatment.</p><p>To our knowledge, this is the first group of patients treated by this method in Portugal.</p></div>","PeriodicalId":100020,"journal":{"name":"Acta Urológica Portuguesa","volume":"32 3","pages":"Pages 118-122"},"PeriodicalIF":0.0000,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.acup.2015.07.003","citationCount":"0","resultStr":"{\"title\":\"Vasovasostomia microcirúrgica: a nossa experiência\",\"authors\":\"Vítor Oliveira, Rui Amorim, Paulo Espiridião, Jorge Dias, Luís Xambre, Luís Ferraz\",\"doi\":\"10.1016/j.acup.2015.07.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>To describe the initial experience of CHVNG/E in microsurgical vasovasostomy.</p></div><div><h3>Methods</h3><p>The two‐layer technique was applied under microscope magnification in every patient by the same surgeon.</p></div><div><h3>Results</h3><p>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<!--> <!-->10<sup>6</sup>/mL, interquartile interval [7<!--> <!-->x<!--> <!-->10<sup>6</sup>/mL‐21<!--> <!-->x<!--> <!-->10<sup>6</sup>/mL]). Four of the 8 patients fathered after the procedure.</p></div><div><h3>Conclusions</h3><p>Our results were comparable to the ones described in the literature, confirming the performance of a good surgical technique.</p><p>Microsurgical vasovasostomy constitutes a very safe method of vasectomy reversal, enabling couples to obtain pregnancies without additional medical treatment.</p><p>To our knowledge, this is the first group of patients treated by this method in Portugal.</p></div>\",\"PeriodicalId\":100020,\"journal\":{\"name\":\"Acta Urológica Portuguesa\",\"volume\":\"32 3\",\"pages\":\"Pages 118-122\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.acup.2015.07.003\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Urológica Portuguesa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2341402215000439\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Urológica Portuguesa","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2341402215000439","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Vasovasostomia microcirúrgica: a nossa experiência
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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