Vasovasostomy and vasoepididymostomy: indications, operative technique, and outcomes

Vasectomy reversal is a complex microsurgical procedure requiring comprehensive preoperative evaluation and meticulous surgical technique.

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VOLUME 115, ISSUE 6, P1384-1392

Authors:

Richard J. Fantus, M.D., Joshua A. Halpern, M.D., M.S. 

Abstract:

The basic principles of vasal reconstruction have endured since their initial description over a century ago, yet the nuances and technical approaches have evolved. Prior to performing vasectomy reversal, the clinician should perform a focused history, physical and laboratory assessment, all of which are critical for patient counseling and preoperative planning. Operative success is contingent on appropriate intraoperative decision making and technical precision in completing a tension-free, watertight, and patent anastomosis. Outcomes of vasectomy reversal differ on the basis of the type of reconstruction required, reconstructive technique, and patient-specific factors. Here we review the indications, surgical techniques, and outcomes of vasectomy reversal.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.