@Article{,
AUTHOR = {Peter T. K. Chan, Jamie Libman},
TITLE = {Feasibility of microsurgical reconstruction of the male reproductive tract after percutaneous epididymal sperm aspiration (PESA)},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {10},
YEAR = {2003},
NUMBER = {6},
PAGES = {2070--2073},
URL = {http://www.techscience.com/CJU/v10n6/62713},
ISSN = {1488-5581},
ABSTRACT = {For obstructive azoospermia, surgical sperm retrieval
from the epididymis for IVF/ICSI is an established
management. However, various recent studies have
established that surgical reconstruction with
vasovasostomy or vasoepididymostomy remains a more
cost-effective treatment option than upfront assisted
reproduction. After epididymal sperm retrieval, fibrosis
and scarring of the punctured epididymal tubule can lead
to complete epididymal obstruction. The feasibility of
surgical reconstruction after surgical epididymal sperm
retrieval has not been established. We describe two cases
of bilateral microsurgical vasoepididymostomy, using a
new 2-suture longitudinal intussusception technique we
previously described, after previous successful bilateral
percutaneous epididymal sperm aspiration (PESA). In
both cases, motile sperm were found in ejaculate in the
first post-operative semen analysis at 6 weeks and 2
months. We conclude that even in men with previous
epididymal sperm retrieval, surgical reconstruction
remains a feasible management option for fertility.},
DOI = {}
}