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[Microsurgical vasovasostomy at the Erasmus MC, 1998-2002: results and predictive factors].

Ned Tijdschr Geneeskd

December 2005

Erasmus MC, afd. Urologie, Postbus 2040, 3000 CA Rotterdam.

Objective: To determine the results ofmicrosurgical vasovasostomy procedures with special emphasis on the technical aspects and predictive factors for successful procedures.

Design: Descriptive.

Method: In 1998-2002, 217 vasovasostomy procedures were performed in an outpatients' clinic setting at the Erasmus MC, Rotterdam, The Netherlands.

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Because of the increasing number of divorces surgical refertilisation by vasovasostomy has become increasingly important. Of 33 patients operated in the last decade, 32 could be reached for follow-up. The patency-rate was 86% and the pregnancy-rate 28%.

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This is a report on the first use of a fibrin adhesive in microsurgical refertilisation. During the period between 4.4.

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Technical possibilities and some results of reconstructive tubal surgery with microsurgical technique are presented. 50% livebirth as calculated figure for the overall results of different groups of good tubal surgery, including refertilisation, on an international basis are proposed for discussion.

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