Closure aspermia N46

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Bilateral occlusion of the laxative seminal ducts (e.g. in epididymitis gonorrhoica or unspecific epididymitis) with resulting aspermia in normal spermogenesis. A unilateral occlusion leads to oligozoospermia.

Diagnosis
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Testicular biopsy with evidence of true spermiogenesis.

Therapy
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Surgical recanalization. If the ductus deferens is freely passable and there are sufficient motile sperm cells in the imprint (intraoperative examination), an anastomosis is performed between the ductus deferens and the epididymal body or head (epididymovasostomy). In the case of obstruction of the ductus deferens, an end-to-end anastomosis of the spermatic duct sections is performed after resection of the stenosing section (vasovasostomy).

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Last updated on: 29.10.2020