Vasovasostomy by Means of a Nd:Yag Laser

  • P. Gilbert
  • W. Thon
Part of the Ettore Majorana International Science Series book series (EMISS, volume 35)


For many years vasectomy has offered a simple and safe procedure for male contraception. Since the operation represents only a very small risk to the patient, it has been accepted by many couples all over the world as an appropriate means for birth control. In the United States, for example, about one-half million vasectomies are performed each year1. Considering the high divorce rate in this century, one cannot be surprised that a good many of the men concerned want a new family and therefore require vasectomy reversal. The successful achievement of an anastomosis of the vas deferens is not only dependent on the operative technique and the skills of the surgeon, but also on such important factors as the age of the patient2 the time interval between vasectomy and vasovasostomy2,3 the existence of sperm granulomas at the distal end of the vas deference3 and the detection of spermatozoon antibodies in the seminal fluid2.


Laser Welding Suture Technique Potency Rate High Divorce Rate Male Contraception 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    L. Liskin, J. Pile and W. Quillin, Vasectomy-safe and simple, Population Reports, Series D, 4:63 (1983)Google Scholar
  2. 2.
    K. Bandhauer, E. Senn, Die Vaso-vasostomie-Faktoren, welche die Ergebnisse beeinflussen, Akt. Urol., 18, 7–10 (1972)Google Scholar
  3. 3.
    A. M. Belker, J. W. Konnak, J. D. Sharlip, and A. J. Thomas Jr., Intraoperative observations during vasovasostomy in 334 patients, J. Urol., Vol. 129, No. 3, 524–527 (1983)Google Scholar
  4. 4.
    J. F. Redman, Clinical Experience with vasovasostomy utilizing absorbable intravasal stent, “Urology”, Vol. XX, No. 1, 59–61 (1982)CrossRefGoogle Scholar
  5. 5.
    K. W. Kaye, R. Gonzalez and E. E. Fraley, Microsurgical vasovasostomy = an aoutpatient procedure under local anaesthesia, J. Urol., Vol. 129, No. 5, 992–994 (1983)Google Scholar
  6. 6.
    L. V. Wagenknecht, Verschlussazoospermie — operative andrologische Massnahmen, Z. Allg. Med., 58, 451–456 (1982)Google Scholar
  7. 7.
    E. Owen, H. Kapila, Vasectomy reversal, (Med) Aust., Vol. 140, No. 7, 398–400 (1984)Google Scholar
  8. 8.
    S. J. Silber, Microsurgery for vasectomy reversal and vaso-epididy-mostomy, “Urology”, Vol. XXIII, No. 5, 505–524 (1984)CrossRefGoogle Scholar
  9. 9.
    S. K. Rosemberg, First laser vasectomy reversal, Clin. Laser Monthly, 2:60 (1984)Google Scholar
  10. 10.
    J. Jarow, B. C. Cooley, F. F. Marshall, Laser-assisted vasal anastomosis in the rat and man, J. Urol., Vol. 36, 1132–1135 (1986)Google Scholar
  11. 11.
    F. Keiditsch, A. Hofstetter, J. Zimmermann, J. Stern, F. Frank, and J. Babaryka, Histological investigation to substantiate the therapy of bladder tumors with the Neodymium-YAG-laser, Laser, 1:19–23 (1985)Google Scholar
  12. 12.
    K. K. Jain, Sutureless microvascular anastomosis using a neodymium-YAG laser, Microsurgery, 1:436 (1980)CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1988

Authors and Affiliations

  • P. Gilbert
    • 1
  • W. Thon
    • 1
  1. 1.Department of UrologyMilitary Hospital of UlmUlmWest Germany

Personalised recommendations