Studies on vasovasostomy: V. Effects of early ambulation on success rate and report of 85 vasovasostomies
Lee, H.Y.
Taehan Uihak Hyophoe Chi. Journal of the Korean Medical Association 13(11): 897-903
1970
ISSN/ISBN: 0023-4028 PMID: 12177907 Document Number: 471161
A clinical study of 85 cases of reanastomosis of vas deferens is presented. The study was conducted with particular care to find out what factors were influencing the operation's success. The factors were splinting materials used, early ambulation, technical differences in anastomosis, and presence or absence of oozes of milky fluid from proximal vasal end at the time of operations. The study took place between 1963 and 1970. The mean age of the husbands was 38.7, and the mean age of the wives was 33.7. The mean time interval between marriage and vasectomy was 11.2 years, and the mean time interval between vasectomy and vasovasostomy was 3.2. The average number of living children at the vasectomy was 3.2, and that of living children at vasovasostomy was 2.7. The reasons for requesting vasovasostomy were death of sons in 36 cases, remarriage in 28 cases, psychologically ill effects in 12 cases, and change of mind in 9 cases. 71 out of the 85 cases had semen examinations and 62 of them were found to have viable sperm in their ejaculates in repeated examinations 1 month after the operation. Pregnancies after the operation have been reported by only 10 subjects. Psychologically ill effects disappeared immediately after the operation in 10 cases. In the nonsplinted group, 9 out of 11 cases proved successful. In the hollow splint group, 6 out of 9 cases were considered successful. In the nylon splint group, 47 out of 51 cases whose semen were examined showed viable sperm in their ejaculates. Of the group who were kept in bed only after 48 hours, 8 out of 10 cases whose semen were examined were found to be successful. The success rate of those who were hospitalized more than 7 days was higher. The success rate of the group of bilateral vasovasostomy was 92%, that of epididymovasostomy in 1 side and vasovasostomy in the opposite was 83%, and that of bilateral epididymovasostomy was 60%. The success rate of bilateral ooze (spermatic fluid) group was higher than that of the unilateral ooze group or no ooze group.