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This study is to evaluate the effectiveness and safety of a modified single-armed suture technique for microsurgical vasoepididymostomy (MVE) in patients with epididymal obstructive azoospermia.From September 2011 to December 2012, microsurgical two-suture longitudinal intussusception vasoepididymostomy were performed using our modified single-armed suture technique in 52 men with epididymal obstructive azoospermia at our hospital. Postoperative patency rate, postoperative impregnation rate and complications were followed.This study is to evaluate the effectiveness and safety of a modified single-armed suture technique for microsurgical vasoepididymostomy (MVE) in patients with epididymal obstructive azoospermia.From September 2011 to December 2012, microsurgical two-suture longitudinal intussusception vasoepididymostomy were performed using our modified single-armed suture technique in 52 men with epididymal obstructive azoospermia at our hospital. Postoperative patency rate, postoperative impregnation rate and complications were followed.