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Title of Journal: World J Urol

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Abbravation: World Journal of Urology

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Springer Berlin Heidelberg

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DOI

10.1007/978-0-387-22532-6_89

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1433-8726

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The influence of obstructive interval on patency r

Authors: Richard A Schoor Samir M Elhanbly Lawrence S Ross Craig S Niederberger
Publish Date: 2002/04/01
Volume: 19, Issue: 6, Pages: 453-456
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Abstract

To determine whether or not obstructive interval OI negatively affects patency rates in epididymovasostomy EV as a sole procedure alone we reviewed medical records from obstructive azoospermia OA patients who underwent unilateral or bilateral epididymovasostomy For the purpose of analysis patients were placed into short OI 15 years or less or long OI more than 15 years categories Patency rate for the short OI group was 58 compared to 15 for the long OI group P001 In conclusion we observed that patency rates worsened with obstructive interval greater than 15 years Epididymovasostomy is a challenging procedure that may not be successful and thus patients should be counseled that obstructive interval might affect surgical outcomes We routinely perform testicular sperm extraction TESE with sperm cryopreservation in this patient population due to the high likelihood that it will ultimately be required for assisted reproductive technology ART

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