{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:14:08Z","timestamp":1747149248975,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Repair of obstructive azoospermia caused by childhood herniorrhaphy may be difficult. Therefore, intracytoplasmic sperm injection using testicular sperm is performed. However, vasovasostomy combined with laparoscopic surgery is challenging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 42\u2010year\u2010old man underwent inguinal hernia repair at age 3. He had normal testicular size, azoospermia, normal hormone levels (follicle\u2010stimulating hormone, luteinizing hormone, and testosterone), absence of Y chromosome micro deletion, and karyotype:46XY, t(1:21)(p34.1:q22.3). He was diagnosed with obstructive azoospermia. Repeated intracytoplasmic sperm injections using testicular sperm resulted in miscarriages. Vasovasostomy combined with laparoscopic surgery was subsequently performed. Postoperative semen analysis result was almost normal. After intracytoplasmic sperm injection of ejaculated sperm, his wife got pregnant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Even if patients have chromosomal abnormalities, performing microsurgical re\u2010anastomosis first is recommended. To our knowledge, this is the first case of a laparoscopy\u2010assisted vasovasostomy for post\u2010herniorrhaphy vas deferens obstruction in Japan.<\/jats:p><\/jats:sec>","DOI":"10.1002\/iju5.12150","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T23:56:48Z","timestamp":1582588608000},"page":"72-75","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopy\u2010assisted vasovasostomy for post\u2010herniorrhaphy vas deferens obstruction"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3174-4294","authenticated-orcid":false,"given":"Masahiro","family":"Uchida","sequence":"first","affiliation":[{"name":"Reproduction Center International University of Health and Welfare Hospital Nasushiobara Japan"},{"name":"Department of Urology Tsukuba Gakuen Hospital Tsukuba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuichi","family":"Iida","sequence":"additional","affiliation":[{"name":"Suzuki Memorial Hospital Iwanuma Japan"},{"name":"Prefectural Art Museum Mae Ladies Mental Clinic Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Hoshi","sequence":"additional","affiliation":[{"name":"Suzuki Memorial Hospital Iwanuma Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Kojo","sequence":"additional","affiliation":[{"name":"Reproduction Center International University of Health and Welfare Hospital Nasushiobara Japan"},{"name":"Department of Urology University of Tsukuba Tsukuba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruki","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Reproduction Center International University of Health and Welfare Hospital Nasushiobara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8414-2393","authenticated-orcid":false,"given":"Kazumitsu","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Reproduction Center International University of Health and Welfare Hospital Nasushiobara Japan"},{"name":"Suzuki Memorial Hospital Iwanuma Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3618-0432","authenticated-orcid":false,"given":"Jun","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Reproduction Center International University of Health and Welfare Hospital Nasushiobara Japan"},{"name":"Department of Urology School of Medicine International University of Health and Welfare Narita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teruaki","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Reproduction Center International University of Health and Welfare Hospital Nasushiobara Japan"},{"name":"Division of Male Infertility Sanno Hospital Center for Human Reproduction International University of Health and Welfare Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/1008-682X.131710"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2042.2000.00171.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.03.002"},{"key":"e_1_2_9_5_1","first-page":"405","article-title":"Seminal reconstraction should be recommended prior to testicular sperm extraction","volume":"79","author":"Shiraishi K","year":"2017","journal-title":"Nishinihon J. 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