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Volume 19, Issue 2 (March 2017) 19, 258–259; DOI:10.4103/1008-682X.170438

The importance of laparoscopy in the surgical reconstruction of inguinal vas injury

Hong-Tao Jiang, Ji-Nan Guo, Zeng-Qin Liu, Qian Yuan, Zhen-Yu Zhou, Yu Liu, Ke-Feng Xiao, Jiang-Gen Yang

1Department of Urology, Minimally Invasive Urology of Shenzhen Research and
Development Center of Medical Engineering and Technology, Shenzhen People’s
Hospital, Jinan University Second Clinic Medical College, Shenzhen 518020,
China; 2Department of Laboratory Medicine, Shenzhen People’s Hospital,
Shenzhen 518020, China

Correspondence: Dr. JG Yang (jianggeny@163.com) or Dr. KF Xiao (djht@sohu.com)

Date of Submission 27-Jun-2015 Date of Decision 20-Aug-2015 Date of Acceptance 28-Oct-2015 Date of Web Publication 05-Jan-2016


Dear Editor,
We are very interested in the recent paper published by Chen et al.1
because we also have treated patients with iatrogenic vasal injury. We
agree with the opinion in this paper that surgical reconstruction of
vas injury is more complex than vasectomy reversal. Because inguinal
vas injuries in China are commonly caused by inadvertent iatrogenic
treatment during childhood, the range and length of vas injury are
often unknown before surgical reconstruction. Guidelines regarding
male infertility by the European Association of Urology suggest that
it is virtually impossible to correct large bilateral vas deferens defects
resulting from involuntary excision of the vasa deferentia during hernia
surgery in early childhood.2 Chen’s study reported that 21.0% (13/62) of
the patients merely underwent vasal exploration without reconstruction
due to failure to find the distal vasal stump.1 How can we overcome
this issue and further improve the vasal reconstruction rate? Here,
we describe our experiences of surgical treatment for patients with
iatrogenic vasal injury.

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