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Grafting Techniques for Vasectomy Reversal

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Male Infertility

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Abstract

Grafting of the male reproductive tract is an exciting new area of tissue engineering which may allow natural conception for patients with significant lengths of obstructed vas deferens. While stents had a significant and important role in increasing patency and pregnancy rates in the pre-microsurgical era, their role in the modern era of microsurgical two-layered anastomosis remains to be defined. To date, if the vasal obstruction is amenable to a primary watertight, tension-free anastomosis, microsurgical non-stented techniques remain the gold standard. Cases where a tension-free anastomosis is not possible because of the physical length of the obstruction remain problematic, but further research into tissue engineering in the form of implantable conduits holds much promise.

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Acknowledgment

We would like to thank Kris Greiner for her editorial assistance in preparing this chapter.

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Authors and Affiliations

  1. Department of Urology, University of Iowa, 200 Hawkins Drive, 3RCP, Iowa City, IA, 52242-1089, USA

    Henry M. Rosevear MD & Moshe Wald MD

Authors
  1. Henry M. Rosevear MD
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  2. Moshe Wald MD
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Correspondence to Henry M. Rosevear MD .

Editor information

Editors and Affiliations

  1. University of Florida, Director, Robotic Surgery, Winter Haven Hospital &, 200 Avenue F. N.E., Winter Haven, 33881, Florida, USA

    Sijo J. Parekattil

  2. Center for Reproductive Medicine, Department of Urology, Cleveland Clinic, Euclid Avenue 9500, Cleveland, 44195, Ohio, USA

    Ashok Agarwal

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Rosevear, H.M., Wald, M. (2012). Grafting Techniques for Vasectomy Reversal. In: Parekattil, S., Agarwal, A. (eds) Male Infertility. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3335-4_9

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  • DOI: https://doi.org/10.1007/978-1-4614-3335-4_9

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3334-7

  • Online ISBN: 978-1-4614-3335-4

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