Vasovasostomy: a step by step surgical technique video

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

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Original Video Article


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.



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


Video presentation.


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.


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



Main Outcome Measure:

Intraoperative technique with commentary highlighting tips for a successful anastomosis.


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.


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


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

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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.