停留睾丸に伴う先天性精管離断に対する Microsurgical Vaso-Vasostomy

概要

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Congenital non-union of the spermatic duct was found in two cases during orchidopexy for undescended testis. The first patient was four years old and the other was 23 months old. The left side was undescended on both cases. The testes were located in the inguinal canal but the spermatic ducts were closely approximated to the pubic bone with an abnormal attachment of the gubernaulum. The spermatic ducts were considered to be completely separated congenitally prior to the attachment to the testicles. The proximal and distal ducts were opened and anastomosed using an operating microscope. The inner layer was anastomosed with three 11-0 monofilament Nylon sutures. The external layer was anastomosed with five 9-0 absorbable sutures (Vicryl). The testes were fixed in the scrotum by the orchidopexy procedure. This may be the first attempt of microsurgical anastomosis of congenitally divided spermatic ducts that will allow a chance of fertility.
日本小児外科学会の論文
1988-12-20