Vasoepididymostomy: End-to-Side Longitudinal Multilayer Intussusception
A vasoepididymostomy is considered one of the most technically challenging microsurgical procedures in medicine and requires highly refined microsurgical skills to achieve good results. These skills take regular practice to perfect and are rapidly perishable, so performing a VE is not for the “occasional” microsurgeon. The modern VE has evolved over the past decades from an end-to-end connection to the standard end-to-side five- to six-suture approach to the three-suture horizontal intussusception to the current longitudinal two-suture intussusception technique. Advances in techniques, microsutures, and microneedles yielding the highest success make the current end-to-side intussusception anastomosis the most preferred approach by most reversal experts.
KeywordsVasoepididymostomy Intussusception Epididymal tubule End-to-side longitudinal VE Invagination Three-needle VE Two-needle VE Five- to six-suture VE