Vasovasostomy a step by step surgical technique video

Original Video Article

Vasovasostomy: a step-by-step surgical technique video

Authors:
Larry I. Lipshultz, M.D., Tariq S. Hakky, M.D., Robert M. Coward, M.D., Ryan P. Smith, M.D., Jason R. Kovac, M.D.

Capsule:This video presentation demonstrates the step-by-step microsurgical approach to the twolayered vasovasostomy technique by an experienced urologic microsurgeon.

Objective:
To demonstrate the step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced urologic microsurgeon.
Design:
Video presentation.
Setting:
Urologists perform over 500,000 vasectomies a year in the United States. Of these men, over 6% will desire vasectomy reversal. A video of the intraoperative technique for a two-layered vasovasostomy has never before been published.
Patient:
This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal.
Intervention:
Vasovasostomy.
Main Outcome Measure:
Intraoperative technique with commentary highlighting tips for a successful anastomosis.
Results:
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:
This video is the first published video demonstrating the step-by-step technique for two-layered microsurgical vasovasostomy as a method of training.

Reference:
1. Lipshultz LI, Rumohr JA, Bennett RC. Techniques for vasectomy reversal. Urol Clin North Am. 2009;36(3):375-82.

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