Paternity after vasectomy with two previous semen analyses without spermatozoa

Authors

  • Marcos Lucon Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo
  • Antonio Marmo Lucon Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo
  • Fabio Firmbach Pasqualoto Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo
  • Miguel Srougi Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo

Keywords:

Vasectomy, Infertility, Paternity, Azoospermia, Fertility

Abstract

CONTEXT: The risk of paternity after vasectomy is rare but still exists. Overall failure to achieve sterility after vasectomy occurs in 0.2 to 5.3% of patients due to technical failure or recanalization. The objective of this report was to describe a rare but notable case of proven paternity in which the semen analyses had not given evidence of spermatozoa. CASE REPORT: A 44-year-old vasectomized man whose semen analyses had shown azoospermia became a father four years after sterilization. Blood sample DNA analysis on the child and husband proved biological paternity. Vasectomy may fail in the long run even without spermatozoa in semen analysis. The patient must be aware of this possibility.

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Author Biographies

Marcos Lucon, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo

Resident in the Department of Urology, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.

Antonio Marmo Lucon, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo

MD, PhD. Associate professor, Department of Urology, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.

Fabio Firmbach Pasqualoto, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo

Biological Sciences Assistant, Health Center, Universidade de Caxias do Sul, Caxias do Sul, Rio Grande do Sul, Brazil.

Miguel Srougi, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo

MD, PhD. Chairman and professor, Department of Urology, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.

References

Philp T, Guillebaud J, Budd D. Complications of vasectomy: review of 16,000 patients. Br J Urol. 1984;56(6):745-8.

Haws JM, Morgan GT, Pollack AE, Koonin LM, Magnani RJ, Gargiullo PM. Clinical aspects of vasectomies performed in the United States in 1995. Urology. 1998;52(4):685-91.

Smith JC, Cranston D, O’Brien T, Guillebaud J, Hindmarsh J, Turner AG. Fatherhood without apparent spermatozoa after vasectomy. Lancet. 1994;344(8914):30.

O’Reilly PH, Gradwell M. Fatherhood with no apparent spermatozoa. BJU Int. 2000;86(3):407.

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Published

2007-03-03

How to Cite

1.
Lucon M, Lucon AM, Pasqualoto FF, Srougi M. Paternity after vasectomy with two previous semen analyses without spermatozoa. Sao Paulo Med J [Internet]. 2007 Mar. 3 [cited 2025 Mar. 9];125(2):122-3. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2075

Issue

Section

Case Report