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.
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 first published video demonstrating a step-by-step technique for two-layered microsurgical vasovasostomy, as a method of training.
Hakky TS, Coward RM, Smith RP, Kovac JR, Lipshultz L. Are you the author?
Scott Department of Urology, Baylor College of Medicine, Houston, Texas; Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
Reference: Fertil Steril. 2013 Dec 24. pii: S0015-0282(13)03284-6.