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Microsurgical seminal reconstruction; our experiences in a single institute
https://doi.org/10.18999/nagjms.82.3.477
https://doi.org/10.18999/nagjms.82.3.4775bd7bd47-95e1-4329-8a0c-6791cb7e2441
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2020-09-04 | |||||
タイトル | ||||||
タイトル | Microsurgical seminal reconstruction; our experiences in a single institute | |||||
著者 |
Hibi, Hatsuki
× Hibi, Hatsuki× Sugie, Miho× Ohori, Tadashi× Sonohara, Megumi× Fukunaga, Noritaka× Asada, Yoshimasa |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | obstructive azoospermia (OA) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | vasovasostomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | longitudinal intussusception vasoepididymostomy (LIVE) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | cryopreservation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ICSI | |||||
抄録 | ||||||
内容記述 | We assessed the contribution of microsurgical seminal reconstruction to achieving natural conception in conjunction with advanced assisted reproductive technologies. Ninety obstructive azoospermic subjects who underwent microsurgical seminal reconstruction were evaluated. Vasovasostomy (VV) was undertaken in 45 subjects whereas vasoepididymostomy (VE) in 45, respectively. VV was performed by employing a two microlayer anastomotic technique, whilst VE was undertaken using double needle longitudinal vaspepididymostomy (LIVE). Patency was achieved in 41 VV (91.1%), and 25 VE (55.6%) cases. In cases where patency was achieved, pregnancy and healthy delivery were recorded following natural intercourse in 7/41 (17.0%) VV, and in 7/25 (28.0%) VE cases. Where patency was not achieved, the use of cryopreserved sperm for intracytoplasmic sperm injection (ICSI), resulted in a healthy delivery in 4/4 (100%) VV and 14/21 (66.6%) in VE subjects. Although natural pregnancy was achieved only in a limited number of subjects treated (14/90; 15.6%), sperm harvested during surgery and cryopreserved for future ICSI use proved valuable, doubling the overall delivery rate (32/90; 36.6%). Surgical intervention is considered to be a useful technique in order to allow the possibility of a natural conception and by harvesting sperm at the same time contributes to the cost-effectiveness. | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.82.3.477 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/823.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
Nagoya Journal of Medical Science 巻 82, 号 3, p. 477-485, 発行日 2020-08 |
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著者版フラグ | ||||||
値 | publisher |