Robot-assisted microsurgery for obstructive azoospermia:Initial experience
Xiangyu Gao
Abstract
Xiangyu Gao
Abstract
Objective: To investigate the feasibility and techniques of robot-assisted microsurgical vasovasostomy( RAVV) and vasoepididymostomy( RAVE) for the treatment of obstructive azoospermia. Methods: Using the da Vinci Robot System,we treated 2cases of obstructive azoospermia,one caused by vasoligation and the other by bilateral testicular obstruction. The former underwent RAVV while the latter received RAVE. Results: Operations were successfully accomplished and postoperative follow-up lasted for 9months. At 6 months after surgery,semen analysis manifested sperm in both of the patients,with sperm concentrations of 2. 0 × 106/ml and 66. 0 × 106/ml,respectively. Conclusion: RAVV and RAVE,with their advantages of precise anastomosis and clear visual field,is a viable surgical alternative for obstructive azoospermia.
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Objective: To investigate the feasibility and techniques of robot-assisted microsurgical vasovasostomy( RAVV) and vasoepididymostomy( RAVE) for the treatment of obstructive azoospermia. Methods: Using the da Vinci Robot System,we treated 2cases of obstructive azoospermia,one caused by vasoligation and the other by bilateral testicular obstruction. The former underwent RAVV while the latter received RAVE. Results: Operations were successfully accomplished and postoperative follow-up lasted for 9months. At 6 months after surgery,semen analysis manifested sperm in both of the patients,with sperm concentrations of 2. 0 × 106/ml and 66. 0 × 106/ml,respectively. Conclusion: RAVV and RAVE,with their advantages of precise anastomosis and clear visual field,is a viable surgical alternative for obstructive azoospermia.
Key concepts: Vasovasostomy, Obstructive azoospermia, Azoospermia, Microsurgery, Medicine, Anastomosis, Surgery, Infertility