Keywords
Azoospermia
Obstruction
Case analysis
Submitted : 2023-12-20
Accepted : 2024-01-04
Published : 2024-01-19
Abstract
The study focused on a case involving a patient with bilateral inguinal hernia and obstructive azoospermia, who was admitted to People’s Hospital of Yide City Guangdong Province on November 24, 2022. A comprehensive analysis of the patient’s condition was conducted, including the determination of the surgical plan and exploration and analysis of key points related to surgical treatment and perioperative nursing intervention. The patient underwent a combined microscopic and laparoscopic exploration of both vas deferens and epididymis, with left epididymal anastomosis and right vas deferens recanalization. High-quality nursing intervention was implemented during the perioperative period. After treatment, the patient’s examination results returned to normal, and his overall condition showed significant improvement, leading to a smooth discharge.
References
Zhao J, Zhai X, Li H, et al., 2017, Report of a Case of Complex Obstructive Azoospermia with Literature Review. Journal of Modern Urology, 22(6): 456–458.
Guo L, Feng L, Sun X, et al., 2021, Report of 40 Cases of Obstructive Azoospermia Treated by Microscopic Vas Deferens Epididymal Anastomosis. Jiangxi Medicine, 56(8): 1225–1226 + 1257.
Zhang H, Yang X, Liu X, et al., 2020, Report of a Case of Azoospermia with Polycystic Kidney and Obstruction of Seminal Tract Dynamics and Review of the Literature. Chinese Journal of Luminal Urology (Electronic Edition), 14(5): 370–372.
Li J, Luo Y, Zhang J, et al., 2021, Case Analysis of Different Epididymal Anastomosis Sites for the Treatment of Epididymal Obstructive Azoospermia. Journal of Dali University, 6(8): 62–66.
He J, 2019, Perioperative Care of Patients with Obstructive Azoospermia Treated with Minimally Invasive Microscopy. Electronic Journal of Practical Clinical Nursing, 3(20): 53 + 55.
Duan L, Chen Y, Yang F, et al., 2019, Clinical Predictive Value of Seminal Plasma AMH Level in Non-Obstructive Azoospermia. China Modern Physician, 57(31): 1–4 + 9.
Fu W, Zhang X, Zhong X, et al., 2020, Study on the Association Between rs139790545 Polymorphism of WNT7A Gene and Non-Obstructive Azoospermia in Han Chinese. Chinese Journal of Prenatal Diagnosis (Electronic Edition), 12(4): 19–22.
Yang J, 2019, Evaluation of the Clinical Application Value of AMH Testing for Non-Obstructive Azoospermia. Journal of Clinical Laboratory (Electronic Edition), 8(1): 21–23.
Dong Y, Song Y, Zhang Y, et al., 2013, Study on Intracytoplasmic Single Sperm Injection by Epididymal or Testicular Sperm Retrieval in Obstructive Azoospermia. Chinese Journal of Experimental Surgery, 30(4): 852–854.
Hao L, Shi Z, Zhang W, et al., 2016, Analysis of the Efficacy of Intracytoplasmic Monosperm Injection by Percutaneous Testicular Puncture in Obstructive Azoospermia. Electronic Journal of Clinical Medical Literature, 3(41): 8135 + 8137.