Apperance of Normal Sperm Parameters with Medical Testicular Stimulation and Repeat Vasovasostomy in the Patient Showing Spermatogenic Arrest Following Vasovasostomy

정관복원술 실패 후 정세포 발육정지의 소견을 보인 경우를 약물적 치료와 재수술을 시행하여 정상 정액을 얻은 환자에서 논의할 사항들

Here, A forty year old patient is presented, showing azoospermia following vasovasostomy. The bilateral testicular biopsies were performed to confirm whether ductal obstruction due to vasovasostomy or testicular failure existed. The finding of biopsy was spermatogenic arrest. After completion of medical testicular stimulation with clomiphene citrate and pentoxifilline for 3 months, repeat vasovasostomy was performed. Semenanaylsis revealed normal sperm parameters after operation. Necessity of testicular biopsy before deciding repeat vasovasostomy, accuracy of testicular biopsy, efficacy of testicular stimulation in the patient with spermatogenic arrest and effect of testicular biopsy on testicular fuction are discussed.