Results of modified two-layer vasovasostomy with optical loupe magnification

Song, Young Min; Park, Ro Jung

Abstract

Modified two layer vasovasostomy with optical loupe magnification was performed in 66 patients from Jan. l984 to Dec. 1990 in Seoul Eulji General Hospital. 44 patients could be followed up, viable sperms more than 10 x 10(6)/ml appeared in 37(84.1 %) and pregnancy occurred in 24(54.5 %). Patients presenting for vasovasostomy less than 5 years after vasectomy had a 88.9 % (24/27) patency rate and a pregnancy rate of 66.7% ( 18/27). Beyond 5 years, a 76.5% (13/17) patency rate and a pregnancy rate of 35.3% (6/17). In conclusion, we have found that there is little difference in the patency and pregnancy rates resulting from microscopic vasovasostomy and vasovasostomy with optical loupe magnification, however, modified two-layer vasovasostomy with optical loupe magnification was simple, easy, convenient time-saving and cost-effective comparing with microscopic vasovasostomy.