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Fertility and sterility · 2008

Rapidly progressing, late-onset obstructive azoospermia linked to herniorrhaphy with mesh.

Клинический случайСтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Yamaguchi Kohei, Ishikawa Tomomoto, Nakano Yuzo, Kondo Yutaka, Shiotani Masahide, Fujisawa Masato

Аннотация

OBJECTIVE: To report a case of a man presenting with rapidly progressing inguinal vasal obstruction 5 years after bilateral herniorrhaphy with polypropylene mesh.

DESIGN: Case report with a review of the scientific literature.

SETTING: Male infertility clinic, Kobe University Hospital (Kobe, Japan).

PATIENT(S): A 30-year-old patient who had undergone bilateral inguinal herniorrhaphy using polypropylene mesh 5 years previously.

INTERVENTION(S): The patient underwent bilateral vasography and left testicular sperm extraction (TESE).

MAIN OUTCOME MEASURE(S): Long-term effects of the adult inguinal herniorrhaphy with polypropylene mesh.

RESULT(S): Rapid progression of vas deferens obstruction occurred within several months. We performed left TESE for intracytoplasmic sperm injection (ICSI) and retrieved many motile sperm.

CONCLUSION(S): Before azoospermia, men who undergo inguinal herniorrhaphy using polypropylene mesh need to rapidly cryopreserve their sperm for future fertility; TESE-ICSI is also a selectable treatment.

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