PATENCY FOLLOWING MICROSURGICAL VASOEPIDIDYMOSTOMY AND VASOVASOSTOMY - TEMPORAL CONSIDERATIONS

Purpose: We evaluate the temporal parameters of patency following vaso epididymostomy and vasovasostomy. Materials and Methods: A series of c onsecutive and concurrent vasoepididymostomies (100) and vasovasostomi es (100) performed by a single surgeon (M. G.) was reviewed. Results: Patency rates following vasoepididymostomy and vasovasostomy were 65% and 99%, respectively (p < 0.001). Motile sperm were observed at a mea n of 5.8 +/- 0.8 months (standard error) following vasoepididymostomy and 2.1 +/- 0.2 months following vasovasostomy (p < 0.01). Late failur e rates were 21% for vasoepididymostomy and 12% for vasovasostomy. Pre gnancy rates following vasoepididymostomy and vasovasostomy were 21% a nd 52%, respectively. Conclusions: Patency is rapid following vasovaso stomy but requires 12 or more months following vasoepididymostomy. Int ervention for azoospermia is appropriate 6 months after vasovasostomy and 1 year after vasoepididymostomy. Intraoperative cryopreservation o f sperm in men undergoing vasoepididymostomy and postoperatively in al l men with motile sperm will maximize fertility options.