精管再開術の臨床例
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概要
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Recently, a large number of males have sterilization operation such as vasectomy done mainly because of its easiness and no influence on sexual activity. Many males who had once made up their mind not to wish any more baby, however, visited our hospital to consult us on surgical correction of vasectomy sterility for reason of child death by unexpected accident, remarriage, a favorable turn of family economy, etc. The patients of azoospermia due to occlusion of the seminal tract due to tuberculosis or nonspecific inflammation of the epididymis have been gradually decreasing after development of chemotherapeutic agents, but a few cases have been still found. From 1957 to 1966, 10 cases of postvasectomy sterility were surgically corrected by end-to-end vasovasostomy, and 4 cases of obstructive azoospermia, two tuberculosis and two nonspecific inflammation of the epididymitis histologically, were treated by end-to-side vasoepididymostomy or vasoorchidostomy. Eight of 10 vasovasostomy showed motile spermatozoa in the ejaculate and 3 of their wives became pregnant, two 2 years after operation and one 5 years. One of 4 vasoepididymostomy or vasoorchidostomy showed motile spermatozoa in the ejaculate after operation, but none of their wives became pregnant. In all the cases, a splint was used. As the splint, 2F polyethylene tube was used in eight of them, silk in three, and catgut in two. The splint was left in place 7-10 days after the operation.
- 泌尿器科紀要刊行会の論文
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