[Surgical alternatives for infertile patients].

OBJECTIVES

We review the main issues on epididymis obstruction and its diagnosis, as well as therapeutic indications and surgical techniques for epididymovasostomy.

METHODS

We describe the microsurgical end-to-side epididymovasostomy technique using double needle 10-0 sutures.

RESULTS

Various techniques of epididymovasostomy achieve seminal tract permeability in 39-86% of the cases and pregnancy in 13-42%.

CONCLUSIONS

Microsurgical epididymovasostomy and testicular/epididymal spermatozoid recovery for ICSI are the alternatives for epididymal obstruction. The choice of the most adequate method depends on various factors and patient's preferences after proper information.