Vasovasostomy: a step-by-step

surgical technique video

Tariq S. Hakky, M.D., Robert M. Coward, M.D., Ryan P. Smith, M.D., Jason R. Kovac, M.D., Ph.D.,

and Larry I. Lipshultz, M.D.

Scott Department of Urology, Baylor College of Medicine, Houston, Texas

Objective:

To demonstrate a step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced

urologic microsurgeon.

Design:

Video presentation.

Setting:

Baylor College of Medicine.

Patient(s):

This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal.

Intervention(s):

Vasovasostomy.

Main Outcome Measure(s):

Intraoperative technique with commentary highlighting tips for a successful anastomosis.

Result(s):

Microsurgical vasovasostomy by a fellowship-trained urologic microsurgeon yields superior results than macrosurgical

approaches, particularly when epididymovasostomy is indicated. Patency for our vasovasostomy technique approaches 100%. The

popularity of vasovasostomy in recent years can be attributed to improvements in operative technique, instrumentation, optics, and

most importantly, patency rate.

Conclusion(s):

This video is the

rst published video demonstrating a step-by-step technique

for two-layered microsurgical vasovasostomy, as a method of training. (Fertil Steril

2014;101:

e14.

2014 by American Society for Reproductive Medicine.)

Key Words:

Vasovasostomy, sterilization reversal, video

–

audio media

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