输精管再通治疗顽固性输精管绝育术后并发症

Treatment of Refractory Complications of Vasectomy by Vasectomy Retum

以输精管再通治疗顽固性男性绝育术后远期并发症16例,并进行详细随访观察。其中精索、附睾炎2例,精索炎伴附睾淤积3例,单纯附睾淤积4例,阳萎3例,痛性结节4例,治愈12例,好转4例,治疗有效率为100％。分析产生并发症的原因、再通适应症及术中操作要点,作者认为,因男性绝育发生的久治不愈、反复发作或伴发性功能改变者,只要落实了节育措施,可行输精管再通治疗。

The vasectomy return in a series of 16 patients who had undergone bilated vasectomy were performed because of the refractory complications for vasoligation. Among them 2 patients were chrome corditis and epididymitis; 3 patients, corditis and epididymis stagnation, 4 patients, simpie epididymis stagnation; 3 patients, impotence; 4 patienre, painful tubercle. The 12 of 16 patients are recovery.The recovery rate is 75% . The remainder 4 are improved.Its rate is 25%. Here, we analysed the causes of complication for vasoligation, suggested indications of vasectomy rtum and pointed out the keys of the procedure. It is suggusted that the vasectomy reversal is applicable in patients who's complications cannot be cured by medications or repeately attack or accompany sexul disfunction,and have had their contraceptive measures.