Grafting Techniques for Vasectomy Reversal
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.
KeywordsPartial vasal agenesis Congenital prostatic cysts Obstruction of the vas deferens Two-layered vasovasostomy Microsurgical two-layered anastomosis Spontaneous recanalization Tuberculous epididymitis Gonorrheal urethritis Obstructive epididymitis Chlamydial epididymitis
We would like to thank Kris Greiner for her editorial assistance in preparing this chapter.
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