Divisão de Urologia, Faculdade de Medicina do ABC, Santo André, SP, Brasil.
Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.
Int Braz J Urol. 2019 Mar-Apr;45(2):392-395. doi: 10.1590/S1677-5538.IBJU.2018.0445.
Inguinal herniorraphy is a possible cause of iatrogenic seminal tract obstruction. Diagnosing and correcting these vasal injuries can be challenging. Successful re-anastomosis is technically challenging, with relatively low success rates. An uncommon alternative for selected cases is the crossover transseptal vasovasostomy. We herein report a case of a 36-year-old male patient with vas deferens injury after herniorraphy and a contralateral hypotrophic testis. He was successfully treated through microsurgical crossover transseptal vasovasostomy, with spontaneous pregnancy achieved, and the technique is presented in details.
腹股沟疝修补术可能导致医源性输精管道阻塞。诊断和纠正这些血管损伤具有挑战性。吻合术的技术难度较大,成功率相对较低。对于特定病例,一种罕见的替代方法是交叉经隔吻合术。本文报告了 1 例 36 岁男性患者,因疝修补术后发生输精管损伤和对侧发育不良睾丸。他成功接受了显微外科交叉经隔吻合术治疗,自然受孕成功,并详细介绍了该技术。