研究開発・学会発表

2月のおはな

Fertility and Sterility

学会名

Fertility and Sterility

日・場所

Vol.90,No.5,Novenber 2008(平成20年11月)

タイトル

Rapidly progressing, late-onset obstructive azoospermia linked to herniorrhaphy with mesh

発表者名

Kohei Yamaguchi, M.D., Ph.D.a, Tomomoto Ishikawa, M.D., Ph.D.a, Yuzo Nakano, M.D., Ph.D.a, Yutaka Kondo, M.D., Ph.D.a, Masahide Shiotani, M.D., Ph.D.b, and Masato Fujisawa, M.D., Ph.D.a
a Division of Urology, Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
b Hanabusa Women’s Clinic, Kobe, Japan

【要旨】

Objective: To report a case of a man presenting with rapid progress of inguinal vasal obstruction five years after bilateral herniorrhaphy with polypropylene mesh.
Design: Case report with a review of scientific literature.
Setting: Male infertility clinic, Kobe University Hospital
Patient(s): Thirty-year-old patient who had undergone bilateral inguinal herniorrhapy using polypropylene mesh five years previously.
Intervention(s): The patient underwent bilateral vasography and left testicular sperm extraction (TESE).
Main Outcome Measure: Long-term effects of the adult inguinal herniorrhaphy with polypropylene mesh.
Result(s): Rapid progress of vas deferens obstruction occurred within several months. We performed left TESE for intracytoplasmic sperm injection (ICSI) and retrieved many motile sperm.
Conclusion(s): Before azoospermia, men who undergo inguinal herniorrhapy using polypropylene mesh need to rapidly cryopreserve their sperm for future fertility. TESE-ICSI is also a selectable treatment.