en Andrology and Male infertility Andrology and Male infertility نامه به سردبیر Letter to the editor <p></p> <div data-url="http://caspjrm.ir/form_send_article.php" id="link64_adl_tabid" style="display:none;">116</div> <p>Iatrogenic vas deferens injuries (IVDIs) as inadvertently medical conditions are critical complications of surgical operations in the <a name="OLE_LINK2"></a><a name="OLE_LINK1">inguinal region </a>of children and adults. It is well documented that any scant disturbance in vas deferens tunica muscularis or mucosa will endanger fertility and unintentionally manipulations during inguinal <a name="OLE_LINK8"></a><a name="OLE_LINK7">hernia</a> repair can cause perforation and/or obstruction of damaged vas deferens resulting in male fertility reduction. It has also been suggested that IVDIs can play crucial roles in formation of anti-sperm autoantibodies and sympathetic vasospasm leading to bilateral testicular deterioration as well as sperm motility and capacitation impairments. In line with that, it seems that non-recognized IVDIs may have destructive effects on spermatogenesis resulting in fertility problems and careful attention to surgical detail should be considered during inguinal region surgical procedures to prevent IVDIs. However, recent progresses in urological microsurgeries and assisted reproductive technologies provide remarkable improvements in fertility outcomes of patients even with serious iatrogenic reduction in fertility.</p> Iatrogenicity, Vas Deferens, Infertility, Trauma 31 32 http://caspjrm.ir/browse.php?a_code=A-12-34-4&slc_lang=en&sid=1 Ali Shalizar Jalali ali_shalizar@yahoo.com 10031947532846001604 10031947532846001604 Yes Department of Basic Sciences, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran