Kaye K W, Gonzalez R, Fraley E E
J Urol. 1983 May;129(5):992-4. doi: 10.1016/s0022-5347(17)52504-5.
We performed microsurgical vasovasostomy on 25 outpatients using spermatic cord block anesthesia, an infrapubic incision and the 1 1/2-layer anastomosis technique. The average operating time was 2 hours 18 minutes and patients usually were discharged home after approximately 1 hour in the recovery room. Of the 21 patients who have had sperm counts performed 3 or more months postoperatively 19 have counts equal to or more than 20 million per ml., with an average motility of 43 per cent. Exclusive of the surgeon's fee, which is the same for inpatient and outpatient vasovasostomies, the average cost of the operation was +650, a savings of 41 per cent over the cost of an outpatient microsurgical vasovasostomy under general anesthesia and of 61 per cent over the cost of the procedure done on an inpatient basis under general anesthesia. The operation as described is safe and economical with minimal morbidity and has results comparable to those obtained with more complex and extensive vasovasostomy techniques.
我们对25例门诊患者采用精索阻滞麻醉、耻骨下切口及1.5层吻合技术进行了显微外科输精管吻合术。平均手术时间为2小时18分钟，患者通常在恢复室停留约1小时后出院回家。在术后3个月或更长时间进行精子计数的21例患者中，19例的精子计数等于或超过每毫升2000万，平均活力为43%。除了外科医生的费用（门诊和住院输精管吻合术相同），该手术的平均费用为650英镑，比全身麻醉下门诊显微外科输精管吻合术的费用节省41%，比全身麻醉下住院手术的费用节省61%。所述手术安全、经济，发病率极低，其结果与采用更复杂、更广泛的输精管吻合技术所获得的结果相当。
