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