(334) Robotic Transabdominal Vasovasostomy Following Laparoscopic Vasectomy: A Case Series

Abstract Introduction A small subset of men undergoing laparoscopic hernia repair will request concomitant vasectomy, which is typically performed via resection a segment the intra-abdominal vas deferens near inguinal ring. Some these ultimately desire vasectomy reversal to restore fertility or alleviate post-vasectomy pain syndrome. Traditional scrotal microsurgical techniques are clearly not feasible in this situation, and open surgical carries significant morbidity. The use robotic approach may offer an attractive alternative improve visualization facilitate patent anastomosis. Objective To demonstrate technical feasibility report institutional outcomes robotic-assisted transabdominal Methods IRB approval was obtained. retrospective chart review our experience with operation performed. Preoperative, operative, postoperative data collected. Results Three cases were identified mean patient age 43 interval 6 years (range 3-10 years) between attempt. Two desired restoration fertility, one man for testicular pain. All patients had previously fathered children, partner 30 years. Port placement similar standard W-configuration used prostatectomy. Mean operative time 319 minutes estimated blood loss 27mL. required modified Prentiss maneuver re-route obtain additional length. Indocyanine green case confirm vasal perfusion. Bilateral vasovasostomy completed all either one-layer anastomosis using 8-0 nylon two-layer 10-0 9-0 nylon. Both return sperm ejaculate concentration 62 million sperm/mL, solitary subjective resolution his Conclusions Robotic technically challenging but experienced team including surgeon andrologist. Outcomes appear be satisfactory. This technique considered who have undergone abdominal treatment Disclosure No