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Vasovasostomy Techniques for Microsurgery Specialists

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Microsurgery for Fertility Specialists

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first vasovasostomy in 1919 [3], and microsurgical repair with the aid of stenting or loupe magnification has largely been replaced by microsurgical approaches.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.

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Authors and Affiliations

  1. Department of Urology, Feinberg School of Medicine, Northwestern University, 251 East Huron St, Chicago, IL, 60611, USA

    Kalen Rimar B.A., B.S.

  2. Department of Urology, The Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA

    Landon Trost M.D.

  3. Department of Urology, Feinberg School of Medicine, Northwestern University, Galter, Suite 20-150, 675N. Saint Clair St, Chicago, IL, 60611, USA

    Robert E. Brannigan M.D.

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  1. Kalen Rimar B.A., B.S.
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  2. Landon Trost M.D.
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  3. Robert E. Brannigan M.D.
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Correspondence to Robert E. Brannigan M.D. .

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Editors and Affiliations

  1. Medical College of Wisconsin, Department of Urology, W. Wisconsin Ave 9200, Milwaukee, 53226, Wisconsin, USA

    Jay I. Sandlow

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Rimar, K., Trost, L., Brannigan, R.E. (2013). Vasovasostomy Techniques for Microsurgery Specialists. In: Sandlow, J. (eds) Microsurgery for Fertility Specialists. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4196-0_4

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  • DOI: https://doi.org/10.1007/978-1-4614-4196-0_4

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