[ XXXX and a history of @entity169 in adult].

@entity1 @entity249 @entity4810 @entity7502 @entity169 @entity3893
BACKGROUND: @entity169 repair is one of the most performed surgeries in the world. It is recognized that any surgery of the pelvic floor may represent a risk factor of @entity4810 . METHOD: Retrospective study of @entity1 with @entity3893 and a history of adult @entity169 surgery and referred to our center between January 1990 and January 2011 for @entity249 . RESULTS: Among 69 @entity3893 @entity1 with history of adult @entity169 surgery, 60 @entity1 underwent surgical extraction of sperm that was successful in 75% (45/60). Positive extraction rate decreases in the subgroup of @entity1 with risk factors for @entity249 (61.4%) as well as in the group with @entity169 (67.9%). There was no statistically significant difference in the positive rate of sperm retrieval according to surgical technique or according to the use of @entity7502 mesh (P>0.05). CONCLUSION: The obstruction of the vas deferens due to an @entity169 was a potential iatrogenic cause of @entity4810 that was rare and underestimated. The influence of using a @entity7502 mesh was not clearly demonstrated. The management of these @entity1 is based on prevention in order to identify @entity1 with risk factors of @entity249 in order to propose a presurgery cryopreservation of sperm. LEVEL OF EVIDENCE: 5.
