THE RELIEF OF STERILITY BY MEANS OF PERMANENT EPIDIDYMOSTOMY
Open Access
- 28 November 1914
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. LXIII (22) , 1916-1918
- https://doi.org/10.1001/jama.1914.02570220026006
Abstract
The types of sterility suitable for permanent epididymostomy are all cases of obstruction of the vas above the internal abdominal ring, and almost all cases of obstruction of the ejaculatory ducts. This work represents seventy-nine operations. The relief of male sterility attracted little attention until 1901, 1902 and 1903, when Martin,1Scaduto2and Bogoljuboff3published their works on anastomosis of the vas to the epididymis, and the rete testis to the vas. These operations give excellent results in proper cases, but the statistical frequency of cases of sterility suitable for them is about one in three, or 33 per cent. They depend absolutely on the patency of the vas deferens. If the vas, or ejaculatory duct, is stenosed they fail. To try to relieve the cases with a stenosed vas deferens, I conceived the following technic: A sac was made communicating with the epididymal tube lumen intoKeywords
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