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Mini-Incision Vasectomy Reversal Using the No-Scalpel Vasectomy Instruments and Principles

  • Darby J. Cassidy
  • Keith Jarvi
  • Ethan D. Grober
  • Kirk C. Lo
Chapter

Abstract

A wide variety of techniques have been described in the literature for vasectomy reversal, and as with most techniques, they continue to evolve in current surgical practice. We have developed a mini-incision technique at the University of Toronto for vasectomy reversal using the principles and instruments used for the no-scalpel vasectomy. By taking advantage of the compliance of the scrotal wall, a substantial length of vas deferens can safely be delivered through a mini-incision for an efficient approach to vasectomy reversal. By avoiding a longer incision, delivery of the testicle and more extensive tissue dissection, one can significantly reduce postoperative pain and hasten return to daily activities without compromising patient outcomes as evidenced by our experience.

Keywords

Vasoepididymostomy Vasovasostomy No-scalpel vasectomy Microsurgical vasovasostomy Mini-incision vasectomy reversal Anastomosis Microscopic bipolar electrocautery 

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Darby J. Cassidy
    • 1
  • Keith Jarvi
    • 2
  • Ethan D. Grober
    • 2
  • Kirk C. Lo
    • 2
  1. 1.Department of UrologyUniversity Hospital of Northern British ColumbiaPrince GeorgeCanada
  2. 2.Department of Surgery, Division of UrologyUniversity of Toronto, Mount Sinai HospitalTorontoCanada

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