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found this reading regarding vasa recta? - sm

Posted: Dec 31st, 2018 - 1:02 pm In Reply to: Vasectomy word - ct140

This paper [1] describes an interesting population-based
trend in patients after vasectomy and its reversal. Although the
28 246 (in-hospital vasectomies) and 1902 (vasovasostomies)
are certainly impressive in terms of numbers, the paper has not
addressed some important points. There is no mention of the
techniques used for vasectomy and vasovasostomy; this has
an important bearing on the ®nal outcome. Was `no-scalpel'
vasectomy used and were all reversals carried out with the use
of an operating microscope? If microvasovasostomy was used,
which suturing technique did the surgeons use? Was vasal
patency or vasal ¯uid routinely examined for sperm positivity?
Which part of the vas was divided during vasectomy (vasa recta
or convoluted vas)? It may be dif®cult to reverse a vasectomy
carried out in the convoluted vas. What was the sperm positivity
rate and sperm quality after vasovasostomy? All these factors
may affect the ultimate outcome (fertility and pregnancy rates)
[2±4]. What was the incidence of spontaneous recanalization
and sperm granulomas? What was the average vaso-obstructive
interval and were there any cases of post-vasectomy testicular
atrophy?

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