Surgery of the Male Reproductive Tract

In the last decade, physicians have witnessed a publication will serve as a stimulus to surgeons growing awareness of and concern with diseases of concerned with male reproductive disorders to in­ the male reproductive tract. Stimulated by this tensify th

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CLINICS IN ANDROLOGY E.S.E. HAFEZ, series editor

VOLUME 2

1. 2. 3. 4. 5. 6. 7.

J.C. Emperaire, A. Audebert, E.S.E. Hafez, eds., Homologous artificial insemination. 1980. ISBN 90-247-2269-1. L.I. Lipshultz, J .N. Corriere Jr., E.S.E. Hafez, eds., Surgery of the male reproductive tract. 1980. ISBN 90-247-2315-9. E.S.E. Hafez, ed., Descended and cryptorchid testis. 1980. ISBN 90-247-2299-3. J. Bain, E.S.E. Hafez, eds., Diagnosis in andrology. 1980. ISBN 90-247-2365-5. G.R. Cunningham, W.-B. Schill, E.S.E. Hafez, eds., Regulation of male fertility. 1980. ISBN 90-247-2373-6. E.S.E. Hafez, E. Spring-Mills, eds., Prostatic carcinoma: biology and diagnosis. 1980. ISBN 90-247-2379-5. S.J. Kogan, E.S.E. Hafez, eds., Pediatric Andro10gy. 1981. ISBN 90-247-2407-4.

series ISBN 90-247-2333-7

SURGERY OF THE MALE REPRODUCTIVE TRACT edited by

L.I. LIPSHUL TZ Houston, Texas

J.N. CORRIERE, Jr. Houston, Texas

and

E.S.E. HAFEZ Detroit, Michigan

• 1980

MARTINUS NIJHOFF PUBLISHERS

THE HAGUE / BOSTON / LONDON

Distributors: for the United States and Canada

Kluwer Boston, Inc. 190 Old Derby Street Hingham, MA 02043 USA for all other countries

Kluwer Academic Publishers Group Distribution Center P.O. Box 322 3300 AH Dordrecht The Netherlands

ClP

Library of Congress Cataloging in Publication Data

Main entry under title: Surgery of the male reproductive tract. (Clinics in andrology; v. 2) Includes index. I. Generative organs, Male - Surgery. 1. Lipshultz, Larry 1. II. Corriere, J. N. III. Hafez, E.S.E., 1922IV. Series. [DNLM: I. Genitalia, Male - Surgery. WI CL831AD v. 2 / WJ700 S961) RD586.S93 617'.463 80-12297

ISBN-13 : 978-94-009-8851-4 001 : 10.1007/978-94-009-8849-1

e-ISBN-13 : 978-94-009-8849-1

Copyright © 1980 by Martinus NijhoffPublishers bv, The Hague. Sojicover reprint of the hardcover 1st edition 1980 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopy ing, recording, or otherwise without the prior written permission of the publisher. Martinus Nijhoff Publishers bv. P.O. Box 566, 2501 eN The Hague. The Netherlands

TABLE OF CONTENTS

List of Contributors

VII

Foreword

IX

I. ANATOMY AND PHYSIOLOGY OF THE MALE REPRODUCTIVE TRACT

1. Embryology and Functional Anatomy of Male Reproductive Organs E.S.E. HAFEZ

5

II. DISORDERS OF SPERMATOGENESIS AND EJACULATION

2. Orchiopexy and the Use of a Testicular Prosthesis for the Undescended Testicle J.N. CORRIERE, JR.

31

3. Epididymovasostomy for Epididymal Obstruction H. FENSTER and M.G. McLoUGHLIN

38

4. Scrotal Exploration, Testis Biopsy and Vasography for Testicular Failure

47

D.J. MEHAN

5. Internal Spermatic Vein Ligation for Varicocele L. DUBIN and R.D. AMELAR

55

6. Bladder Neck Reconstruction for Retrograde Ejaculation

62

A.D. JENKINS and S.S. HOWARDS

III. DISORDERS OF ERECTION, EMISSION AND VAGINAL PENETRATION 7. Urethroplasty for Hypospadias J.N. CORRIERE, JR.

69

8. Genital Reconstruction of Anomalies of the Genitalia other than Hyposp