دورية أكاديمية
Loupe-Assisted Vasovasostomy Using a Prolene Stent: A Simpler Vasectomy Reversal Technique
| العنوان: | Loupe-Assisted Vasovasostomy Using a Prolene Stent: A Simpler Vasectomy Reversal Technique |
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| المؤلفون: | Jong Chul Jeon, Taekmin Kwon, Sejun Park, Sungchan Park, Sang Hyeon Cheon, Kyung Hyun Moon |
| المصدر: | The World Journal of Men's Health, Vol 35, Iss 2, Pp 115-119 (2017) |
| بيانات النشر: | Korean Society for Sexual Medicine and Andrology, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Medicine LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Pregnancy, Stents, Vasovasostomy, Medicine, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | Purpose: Microsurgical vasovasostomy is associated with high patency and pregnancy rates, but is difficult and requires significant effort and time to learn. Therefore, we assessed a simplified loupe-assisted vasovasostomy method using a Prolene stent. Materials and Methods: The medical records of 82 patients who underwent loupe-assisted vasovasostomy with a Prolene stent by a single surgeon between January 2004 and December 2015 were reviewed. The association between the vasal obstructive interval (VOI) and the success rate was evaluated. Results: The average age at the time of vasovasostomy was 39.8 years (range, 29∼57 years). The mean VOI was 6.6 years (range, 1∼19 years). The mean operation time was 87.0 minutes (range, 55.0∼140.0 minutes). The overall patency and natural pregnancy rates were 90.2% and 45.1%, respectively. The success rate decreased as time after vasectomy increased (odds ratio, 0.869; 95% confidence interval, 0.760∼0.993; p=0.039). The cases were divided into 2 groups according to the mean VOI: group A (＞7 years) and group B (≤7 years), with 31 cases (37.8%) and 51 cases (62.2%), respectively. The patency and pregnancy rates of group A were 80.6% and 51.6%, respectively, while those of group B were 96.1% and 41.2%, respectively. Conclusions: Loupe-assisted vasovasostomy using a Prolene stent is a safe and effective method. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2287-4208 2287-4690 |
| Relation: | https://www.wjmh.org/Synapse/Data/PDFData/2074WJMH/wjmh-35-115.pdf; https://doaj.org/toc/2287-4208; https://doaj.org/toc/2287-4690 |
| DOI: | 10.5534/wjmh.2017.35.2.115 |
| URL الوصول: | https://doaj.org/article/1d52bc6d8f3f4ada8dcaa7f0dd4e8d77 |
| رقم الأكسشن: | edsdoj.1d52bc6d8f3f4ada8dcaa7f0dd4e8d77 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22874208 22874690 |
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| DOI: | 10.5534/wjmh.2017.35.2.115 |