Closure aspermiaN46
DefinitionThis section has been translated automatically.
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.
DiagnosisThis section has been translated automatically.
Testicular biopsy with evidence of true spermiogenesis.
TherapyThis section has been translated automatically.
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).