Crossover transseptal vasovasostomy: alternative for very selected cases of iatrogenic injury to vas deferens

Vol. 45 (2): 392-395, March – April, 2019

doi: 10.1590/S1677-5538.IBJU.2018.0445


CHALLENGING CLINICAL CASES

Fernando Korkes 1, Oseas Castro Neves Neto 2
1 Divisão de Urologia, Faculdade de Medicina do ABC, Santo André, SP, Brasil; 2 Hospital Israelita Albert Einstein, São Paulo, SP, Brasil

ABSTRACT

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.

Keywords: Azoospermia; Herniorrhaphy; Infertility; Vasovasostomy

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