Development of a scrotal vasocutaneous fistula producing viable spermatozoa 9 years after vasectomy.

OBJECTIVE

To describe a case of scrotal vasocutaneous fistula discharging viable sperm.

DESIGN

Case report.

SETTING

A hospital-based assisted conception center.

PATIENT(S): A 37-year-old male presenting for fertility treatment 9 years after vasectomy with a scrotal vasocutaneous fistula that caused a painful, intermittently rupturing, subcutaneous cyst.

INTERVENTION(S): Analysis of fistula discharge and planned fistula resection with vasovasostomy.

MAIN OUTCOME MEASURE(S): Diagnostic semen analysis to determine presence or absence of spermatozoa in fistula discharge.

RESULT(S): A very low concentration of live spermatozoa were identified in the fistula discharge.

CONCLUSIONS(S): We believe this is the first time that live spermatozoa, potentially suitable for assisted conception treatment using intracytoplasmic sperm injection have been identified in the discharge from a vasocutaneous fistula.