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Microsurgical vasoepididymostomy to corpus epididymidis in treatment of inflammatory obstructive azoospermia.
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Abstract
A unilateral microsurgical vasoepididymostomy utilizing 35 mm of epididymis was performed in a patient with postinflammatory epididymal obstruction. Success was verified with multiple semen analyses, the hamster egg penetration test, and a pregnancy. These results demonstrate that surgical bypass of inflammatory tubal obstruction in the distal epididymis can result in the return of normal epididymal function and fertility.