vasovasostomy techniques for microsurgery specialists

Kalen Rimar, Landon Trost, Robert E Brannigan*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Every year, roughly 500,000 vasectomies are performed in the USA, and it is estimated that up to 6% of these men will eventually request a reversal [1, 2]. Surgical technique has evolved since Dr. William Quinby performed the first vasovasostomy in 1919 [3], and microsurgicalrepair with the aid of stenting or loupe magnification has largely been replaced by microsurgical approaches. The improved visualization and stabilization the operating microscope provides are well suited for re-approximating a delicate, 0.3 mm diameter structure like the vas deferens.This chapter provides a brief history of vasal repair, an overview of the authors' preferred technique for microsurgical vasovasostomy, and evidence-based recommendations for preoperative and postoperative care

Original languageEnglish (US)
Title of host publicationMicrosurgery for Fertility Specialists
Subtitle of host publicationA Practical Text
PublisherSpringer New York
Pages49-67
Number of pages19
ISBN (Electronic)9781461441960
ISBN (Print)9781461441953
DOIs
StatePublished - Jan 1 2013

Keywords

  • Microsurgery
  • Surgical techniques
  • Vasectomy reversal
  • Vasovasostomy

ASJC Scopus subject areas

  • Medicine(all)

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