Epididymovasostomy (Epididymovasostomy)

Epididymovasostomy is a surgical operation that involves creating a bypass anastomosis between the vas deferens and the duct of the epididymis, bypassing the blocked area. This operation is performed to cure the patient of azospermia caused by such a blockage.

During an epididymovasostomy, the surgeon connects the vas deferens directly to the epididymis, creating an alternative pathway for sperm to pass from the epididymis to the vas deferens. This allows sperm to enter the seminal fluid and then into the urethra, bypassing the blocked section of the duct.

Indications for epididymovasostomy are obstructive azospermia due to an inflammatory process or a congenital anomaly of the vas deferens. The purpose of the operation is to restore the patency of the vas deferens and restore the patient's fertility.

The operation is performed under general anesthesia and consists of incising the skin of the scrotum, isolating the spermatic cord and epididymis. Next, the vas deferens and epididymis are connected using absorbable sutures. After surgery, antibacterial therapy is prescribed to prevent inflammatory complications.

Epididymovasostomy allows you to restore the patency of the vas deferens in 60-70% of cases. Pregnancy after surgery occurs in 20-30% of patients. Thus, epididymovasostomy is an effective treatment for obstructive azospermia.

Surgical operation Epidimidovasostomy is a surgical operation that is aimed at curing a patient with azospermia (infertility) caused by blockage of the vas deferens. Bypass anastomosis between the vas deferens and the duct, or canal, of the epididymis. Operations of this type are performed mainly by a urologist or surgeon. In urology, Epidimidioanastomosis is the main treatment for azospermia due to lack of sperm. This method is ineffective for men with infertility due to damage to the epididymis. Also, as statistics show, with frequent or sudden interruption of sexual intercourse, as well as after inflammatory diseases, when infection has caused necrosis of the appendage, as mentioned above, rehabilitation of the urological apparatus is too long. To minimize the negative consequences of the operation, several months before surgery, drug therapy is prescribed, aimed at reducing the level of inflammation of the reproductive organs and preventing possible complications.

Epididymal nasostotomy is a surgical procedure in which a bypass is created during surgery to connect the epididymis and the vas deferens, bypassing the blocked area. For men suffering from azospermia or severe infertility, Epididimovasostomia is the only treatment option.

Azospermia is a pathological condition that means the body produces either an extremely small number of sperm or their absence completely. This condition leads to problems with conception. Epidimidonarumostomy is a procedure that prevents infertility by creating a passage using materials that are not identical to your own tissue, causing your body to perceive this bypass as the real path for sperm to pass through. This procedure is called an on-pump procedure (ACA) because the source of the graft is in the artificial circulatory system.

Complications after Epidimirovasostomy - the procedure sometimes has negative consequences, although they are extremely rare and if the patient suffers from any other disease. The most common complication after the procedure is infection. Rarely, nausea, vomiting, pain and fever are possible. Usually these problems go away quickly. In the rarest cases, tissue rejection occurs.