Thanks to the development of microsurgical techniques, it is now possi
ble to treat epididymis-dependent obstructive azoospermia successfully
With the help of various methods of assisted microfertilization (ICSI
), surgical andrology is in a position to overcome all barriers, given
the presence of spermatogenesis. Concerning the operational technique
itself, there are limits in the anatomical, pathological, technical a
nd manual field.