Reinforcing vasal suture technique improves sperm concentration and pregnancy rates in men undergoing vasovasostomy for vasectomy reversal

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منابع مشابه

Advances in male reproductive surgery: robotic-assisted vasovasostomy.

It is estimated that 3-6% of all vasectomised men request vasectomy reversal for different reasons. Microsurgical vasovasostomy is the gold standard technique of vasectomy reversal. However, the microsurgical technique is time-consuming and challenging to most urological surgeons. Therefore, alternative methods of vasal anastomosis have been studied including robotic-assisted vasovasostomy. Thi...

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Microscopic vasectomy reversal 30 years later: a summary of 4010 cases by the same surgeon.

Between 1975 and 2003, a total of 4010 patients have undergone microscopic vasectomy reversal by 1 surgeon at 1 institution. Of these cases, 3904 had available records and 1735 were successfully contacted to obtain reliable long-term data. A total of 1556 (89.7%) were able to establish a pregnancy in their female partner, resulting in 2111 pregnancies. When there was no sperm in the vas fluid a...

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Outcomes for vasovasostomy performed when only sperm parts are present in the vasal fluid.

This article reviews the outcomes for vasovasostomy (VV) when only sperm parts were present in the vasal fluid. Thirtyfour patients who underwent bilateral (31) or unilateral (3) VV had either sperm parts bilaterally or sperm parts on 1 side and intravasal azoospermia on the contralateral side. Two of the procedures (1 unilateral, 1 bilateral) were repeat procedures. Patient and partner age wer...

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Loupe-Assisted Vasovasostomy Using a Prolene Stent: A Simpler Vasectomy Reversal Technique

PURPOSE Microsurgical vasovasostomy is associated with high patency and pregnancy rates, but is difficult and requires significant effort and time to learn. Therefore, we assessed a simplified loupe-assisted vasovasostomy method using a Prolene stent. MATERIALS AND METHODS The medical records of 82 patients who underwent loupe-assisted vasovasostomy with a Prolene stent by a single surgeon be...

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Results of microsurgical anastomosis in men with seminal tract obstruction due to inguinal herniorrhaphy.

UNLABELLED The incidence of vasal injury during inguinal herniorrhaphy is estimated at 0.5%. We sought to assess the patency rates and long-term fertility outcome after microsurgical repair of vasal obstruction related to prior inguinal herniorrhaphy. METHODS Twenty procedures were performed on 13 men diagnosed with infertility and vasal injury secondary to previous inguinal herniorrhaphy. Ei...

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ژورنال

عنوان ژورنال: Translational Andrology and Urology

سال: 2020

ISSN: 2223-4683,2223-4691

DOI: 10.21037/tau.2019.09.41