Vaso-vasostomy and Epididymo-vasostomy

  • W. F. Hendry
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)

Abstract

Vaso-vasostomy (vas-vas.) and epididymo-vasostomy (ep-vas.) are the standard methods of joining parts of the male genital tract to overcome obstruction of the outflow from the testicles. Experience with vasectomy reversal has shown that, with a careful vas-vas. technique, very successful results can be obtained, restoring fertility in a high proportion of cases. With ep-vas., on the other hand, results have generally been rather poor, even discouraging. These two procedures are technically different, but it is probably a mistake to assume that failure after ep-vas. is necessarily due to surgical problems alone. Instead, the surgeon should consider the underlying pathological conditions that necessitated the operation, which are different in the various parts of the male genital tract, and which are probably more important as the fundamental causes of treatment failure.

Keywords

Formalin Polythene Fructose Nylon Gelatin 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alexander NJ, Fulgham DL, Toyooka DL, Uno H, Wicklund R (1979) Innervation of the rabbit ductus deferens after vasectomy and vasovasostomy. Biol Reprod 21: 161–171PubMedCrossRefGoogle Scholar
  2. Bagshaw HA, Masters JRW, Pryor JP (1980) Factors influencing the outcome of vasectomy reversal. Br J Urol 52: 57–60PubMedCrossRefGoogle Scholar
  3. Ball RY, Setchell BP (1983) The passage of spermatozoa to regional lymph nodes in testicular lymph following vasectomy in rams and boars. J Reprod Fertil 68: 145–153PubMedCrossRefGoogle Scholar
  4. Ball RY, Naylor CPE, Mitchinson MJ (1982) Spermatozoa in an abdominal lymph node after vasectomy. J Reprod Fertil 66: 715–716PubMedCrossRefGoogle Scholar
  5. Brindley GS, Scott GI, Hendry WF (1987) Vas cannulation with implanted sperm-reservoirs for obstructive azoospermia or ejaculatory failure. Br J Urol 58: 721–723CrossRefGoogle Scholar
  6. Cos LR, Valvo JR, Davis RS, Cockett AJK (1983) Vasovasostomy: current state of the art. Urology 22: 567–575PubMedCrossRefGoogle Scholar
  7. Dubin L, Amelar RD (1982) Epididymovasostomy. In: Garcia CR, Mastroianni L, Amelar RD, Dubin L (eds) Current therapy of infertility. BC Decker, Trenton, pp 77–79Google Scholar
  8. Hagan KF, Coffey DS (1977) The adverse effects of sperm during vasovasostomy. J Urol 118 (2): 269–273PubMedGoogle Scholar
  9. Handelsman DJ, Conway AJ, Boylan LM, Turtle JR (1984) Young’s syndrome: obstructive azoospermia and chronic sinopulmonary infections. N Engl J Med 310: 3–9PubMedCrossRefGoogle Scholar
  10. Hanley HG (1955) The surgery of male subfertility. Ann R Coll Surg Engl 17: 159–183PubMedGoogle Scholar
  11. Hellema HWJ, Rumke P (1978) Sperm autoantibodies as a consequence of vasectomy. I. Within 1 year post-operation. Clin Exp Immunol 31: 18–29PubMedGoogle Scholar
  12. Hendry WF (1981) The long term results of surgery for obstructive azoospermia. Br J Urol 53:664–668PubMedCrossRefGoogle Scholar
  13. Hendry WF (1987) The clinical significance of unilateral testicular obstruction in subfertile males. Br J Urol 58: 709–714CrossRefGoogle Scholar
  14. Hendry WF, Polani PE, Pugh RCB, Sommerville IF, Wallace DM (1975) 200 Infertile males: correlation of chromosome, histological, endocrine and clinical studies. Br J Urol 47: 899–908PubMedCrossRefGoogle Scholar
  15. Hendry WF, Knight RK, Whitfield HN et al. (1978) Obstructive azoospermia: respiratory function tests, electron microscopy and the results of surgery. Br J Urol 50: 598–604PubMedCrossRefGoogle Scholar
  16. Hendry WF, Parslow JM, Stedronska J, Wallace DMA (1982) The diagnosis of unilateral testicular obstruction in subfertile males. Br J Urol 54: 774–779PubMedCrossRefGoogle Scholar
  17. Hendry WF, Parslow JM, Stedronska J (1983) Exploratory scrototomy in 168 azoospermic males. Br J Urol 55: 785–791PubMedCrossRefGoogle Scholar
  18. Hendry WF, Treehuba K, Hughes L et al. (1986) Cyclic prednisolone therapy for male infertility associated with antibodies to spermatozoa. Fertil Steril 45: 249–254PubMedGoogle Scholar
  19. Howard G (1982) Who asks for vasectomy reversal and why? Br Med J 285: 490–492CrossRefGoogle Scholar
  20. Hulka JF, Davis JE (1972) Vasectomy and reversible vasocclusion. Fertil Steril 23: 683–696PubMedGoogle Scholar
  21. Jameson RM (1985) Infective causes of male infertility. In: Whitfield HN, Hendry WF (eds) Textbook of genitourinary surgery. Churchill Livingstone, EdinburghGoogle Scholar
  22. Kessler DL, Smith WD, Hamilton MS, Berger RE (1985) Infertility in mice after unilateral vasectomy. Fertil Steril 43: 308–312PubMedGoogle Scholar
  23. Linnet L, Hjort T, Fogh-Andersen P (1981) Association between failure to impregnate after vasovasostomy and sperm agglutinins in semen. Lancet I: 117–119PubMedCrossRefGoogle Scholar
  24. Neville E, Brewis R, Yeates WK, Burridge A (1983) Respiratory tract disease and obstructive azoospermia. Thorax 38: 929–933PubMedCrossRefGoogle Scholar
  25. Pabst R, Martin O, Lippert H (1979) Is the low fertility rate after vasovasostomy caused by nerve resection during vasectomy? Fertil Steril 31: 316–320PubMedGoogle Scholar
  26. Parslow JM, Royle MG, Kingscott MMB, Wallace DMA, Hendry WF (1983) The effects of sperm antibodies on fertility after vasectomy reversal. Am J Reprod Immunol 3: 28–31PubMedGoogle Scholar
  27. Parslow JM, Poulton TA, Besser GM, Hendry WF (1985) The clinical relevance of classes of immunoglobulins on spermatozoa from infertile and asovasostomised males. Fertil Steril 43: 621–627PubMedGoogle Scholar
  28. Pavia D, Agnew JE, Bateman JRM et al. (1981) Lung mucociliary clearance in patients with Young’s syndrome. Chest 80 [Suppl]: 892–895PubMedCrossRefGoogle Scholar
  29. Rose NR, Lucas PL (1979) Immunological consequences of vasectomy. II. Two-year summary of prospective study. In: Lepow IH, Crozier R (eds) Vasectomy: immunologic and pathophysiologic effects in animals and man. Academic Press, New York, pp 533–560Google Scholar
  30. Royle MG, Hendry WF (1985) Why does vasectomy reversal fail? Br J Urol 57: 780–783PubMedCrossRefGoogle Scholar
  31. Rumke PH, Titus M (1970) Spermagglutinin formation in male rats by subcutaneous injected syngeneic epididymal spermatozoa and by vasoligation or vasectomy. J Reprod Fertil 21: 69–79PubMedCrossRefGoogle Scholar
  32. Rutland J, Cole PJ (1980) Non-invasive sampling of nasal cilia for measurement of beat frequency and study of ultrastructure. Lancet II: 564–565PubMedCrossRefGoogle Scholar
  33. Schoysman R (1982) Epididymal causes of male infertility: pathogenesis and management. In: White R de V (ed) Aspects of male infertility. Williams and Wilkins, Baltimore, pp 233–249Google Scholar
  34. Silber SJ (1977) Microscopic vasectomy reversal. Fertil Steril 28: 1191–1202PubMedGoogle Scholar
  35. Silber SJ (1978) Vasectomy and vasectomy reversal. Fertil Steril 29: 125–140PubMedGoogle Scholar
  36. Silber SJ (1984) Microsurgical vasoepididymostomy. In: Silber SJ (ed) Reproductive infertility microsurgery in the male and female. Williams and Wilkins, Baltimore, pp 132–146Google Scholar
  37. Wicklund R, Alexander NJ (1979) Vasovasostomy: evaluation of success. Urology 13: 532–534PubMedCrossRefGoogle Scholar
  38. Young D (1970) Surgical treatment of male infertility. J Reprod Fertil 23: 541–542PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • W. F. Hendry

There are no affiliations available

Personalised recommendations