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  • Title: Crossover transseptal vasovasostomy: alternative for very selected cases of iatrogenic injury to vas deferens.
    Author: Korkes F, Neves OC.
    Journal: Int Braz J Urol; 2019; 45(2):392-395. PubMed ID: 30735331.
    Abstract:
    Inguinal herniorraphy is a possible cause of iatrogenic seminal tract obstruction. Diagnosing and correcting these vasal injuries can be challenging. Successful re-anastomosis is technically challenging, with relatively low success rates. An uncommon alternative for selected cases is the crossover transseptal vasovasostomy. We herein report a case of a 36-year-old male patient with vas deferens injury after herniorraphy and a contralateral hypotrophic testis. He was successfully treated through microsurgical crossover transseptal vasovasostomy, with spontaneous pregnancy achieved, and the technique is presented in details.
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