Effect of irrigation of vas deferens on sperm analyses after vasectomy.

T Lehtonen
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引用次数: 0

Abstract

70 men were operated for voluntary sterilisation by vasectomy alone and 20 men by vasectomy and irrigation of distal vasa with acid Kystosol solution. Postoperative semen analyses 2 weeks later showed azoospermia in only 2% of cases after vasectomy alone and in 25% of cases following vasectomy and irrigation, and 2 months postoperatively in 44% and 90%, respectively. Non-motile sperm cells in seminal analyses was the most common finding in both series 2 weeks after vasectomy. The problem whether the non motile sperm cells are viable or not is discussed. However, two azoospermic semen analyses must be obtained before sterility after vasectomy can be ascertained.

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输精管冲洗对输精管切除术后精子分析的影响。
单纯输精管结扎行自愿绝育手术70例,输精管结扎加末端输精管灌洗术20例。2周后的术后精液分析显示,输精管切除术后无精子症的发生率仅为2%,输精管切除术和输精管冲洗后无精子症的发生率为25%,术后2个月无精子症的发生率分别为44%和90%。在输精管结扎后2周的两个系列中,精液分析中最常见的发现是无活动精子细胞。讨论了非活动精子是否有活力的问题。然而,在确定输精管切除术后的不育之前,必须进行两次无精子精液分析。
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