A Case Report demonstrating successful sperm retrieval in azoospermic males with congenital absence of the vas deferens, suggesting new possibilities for couples.
Introduction A 27-year-old azoospermic male with congenital unilateral absence of the vas deferens (CUAVD) Objective To report a rare case of having sperm in ejaculation due to microsurgical reconstruction. Methods Microscopic epididymal sperm aspiration (MESA) for intracytoplasmic sperm injection (ICSI) and Microsurgical crossed vasoepididymostomy via epididymis transposition simultaneously. Results There were two backup frozen semen samples at the time of surgery, enough sperm for ICSI, and three months later, sperm were visible in semen. Conclusions To provide azoospermic couples additional opportunities, the challenging procedure known as microsurgical crossed vasoepididymostomy via epididymis transposition should be performed on the same day of ovum pick-up (OPU). Disclosure No
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Duong et al. (2026) studied this question.
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