(400) Robotic-Assisted Intra-Abdominal Vasovasostomy

Abstract Introduction Microscopic-assisted vasovasostomy is a well described procedure used to manage obstructive azoospermia. Intra-abdominal azoospermia poses challenge and various techniques have been described, including both open minimally invasive approaches. The wide-spread adoption of robotics within urology has led multiple reports robotic-assisted vasovasostomy, which offers feasible solution for this challenging problem. Objective We describe our technique intra-abdominal in patient with Methods A 52 y/o male past surgical history right laparoscopic inguinal hernia repair mesh concurrent bilateral vasectomy presented institution desire fertility. He elected proceed vasovasostomy. Results present Post-operative semen analysis confirmed the presence motile sperm. Conclusions conclude that approach vasal obstruction. This can be technically procedure, particularly setting previous mesh. Disclosure No