精索静脉曲张低位结扎致梗阻性无精子症1例报告

Obstructive azoospermia caused by low ligation of varicocele: A case report.

作者信息

Hagiuda Jun, Ishikawa Hiromichi, Hagiwara Masayuki, Kono Hidaka, Nakagawa Ken, Oya Mototsugu

机构信息

a Department of Urology , Ichikawa General Hospital, Tokyo Dental College , Chiba , Japan.

b Department of Urology , School of Medicine, Keio University , Tokyo , Japan.

出版信息

Syst Biol Reprod Med. 2017 Oct;63(5):338-339. doi: 10.1080/19396368.2017.1350769. Epub 2017 Aug 3.

DOI:10.1080/19396368.2017.1350769

PMID:28771041

Abstract

Varicocele is commonly observed in male partners of infertile couples. The surgical ligation of varicoceles under microscopy can be safely performed by a skilled andrologist with most patients subsequently experiencing an improvement in semen quality. This is the first case in which obstructive azoospermia occurred after high inguinal varicocelectomy. The vas deferens was disrupted near the internal inguinal ring by fibrous tissue. A vasovasostomy was performed and semen parameters subsequently recovered.

摘要

精索静脉曲张常见于不育夫妇的男性伴侣中。熟练的男科学医生可在显微镜下安全地进行精索静脉曲张手术结扎，大多数患者随后精液质量会有所改善。这是首例高位腹股沟精索静脉结扎术后发生梗阻性无精子症的病例。输精管在腹股沟内环附近被纤维组织破坏。进行了输精管吻合术，精液参数随后恢复。