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 ...

PURPOSE We report on the early results of fibrin glue assisted, 3-suture microsurgical vasovasostomy (FGV) technique in humans. MATERIALS AND METHODS After Institutional Review Board approval, 42 patients were enrolled prospectively from October 2002 to March 2004. Patients underwent microsurgical 3-suture vasovasostomy with completion of the anastomosis with fibrin sealant. Patient and partn...

PURPOSE The purpose of this study is to evaluate the preoperative factors that influenced postoperative sperm concentration after vasovasostomy. MATERIALS AND METHODS We retrospectively reviewed 97 consecutive single-layer vasovasostomy procedures performed by a single surgeon between March 2003 and September 2010. The patients were stratified into three groups based on sperm concentration at...

vas was too long to anastomose with the proximal end of the vas, or if the distal vas end retreated into the pelvis and was inaccessible at the inguinal area. This procedure is the same as previously reported. 3 If no sperm were found in the fluid from the proximal vas end, a secondary epididymal obstruction was considered, and the modified transverse intussusception vasoepididymostomy (VE), wh...

In this series we present the results of a retrospective analysis of 66 vasovasostomy procedures performed between 1983 and 1991. Obstructive intervals and serum antisperm antibodies were correlated with pregnancy and patency rates. With obstructive intervals of less than 5 years a patency rate of 100% (31/31) was obtained. Even more than 10 years after reversal, pregnancy occurred in 25% (2/8)...

We read with great interest the paper by Wilson F. Busato Junior and colleagues (1). In this elegant study two techniques of vasovasostomy have been tested in a laboratory setting. One group of rats underwent “conventional” one-layer anastomosis on the left vas deferent, after transection on the right side; another group was evaluated for a simplified anastomosis performed with one anchor point...

Iatrogenic obstruction of the vas deferens within the inguinal canal can be managed by direct on-site vasovasostomy. However, in cases with large defect of the vas, the anastomosis may be under tension. Dissecting through the site of a previous hernia repair is tedious, and may lead to recurrence of the hernia. The present work reports an, first of a kind, alternative technique that avoids the ...

Objective Background: 2% to 6% of vasectomized men will ultimately seek vasectomy reversal and late stricture and obstruction after operation are relatively common. Objective: To find a method for improving of vasovasostomy outcomes, we used intra-operative local mitomycin-C to prevent possible fibrosis and stricture. MaterialsAndMethods Design, setting, and participants: 44 patients in our ref...

PURPOSE We determined whether men who may have partial obstruction and antisperm antibodies after vasovasostomy can be distinguished from other infertile men with antisperm antibodies only, and whether repeat microsurgical reversal is beneficial in such patients. MATERIALS AND METHODS A total of 412 patients underwent indirect immunobead testing for antisperm antibodies at our laboratory from...