Vasovasostomy: a step-by-step surgical technique video

Abstract

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 first published video demonstrating a step-by-step technique for two-layered microsurgical vasovasostomy, as a method of training.

Keywords: Vasovasostomy; sterilization reversal; video–audio media.