Vasovasostomy: a step-by-step surgical technique video Tariq S. Hakky, M.D., Robert M. Coward, M.D., Ryan P. Smith, M.D., Jason R. Kovac, M.D., Ph.D., and Larry I. Lipshultz, M.D. Scott Department of Urology, Baylor College of Medicine, Houston, Texas
Objective: To demonstrate a step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced urologic microsurgeon. Design: Video presentation. Setting: Baylor College of Medicine. Patient(s): This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal. Intervention(s): Vasovasostomy. Main Outcome Measure(s): Intraoperative technique with commentary highlighting tips for a successful anastomosis. Result(s): Microsurgical vasovasostomy by a fellowship-trained urologic microsurgeon yields superior results than macrosurgical approaches, particularly when epididymovasostomy is indicated. Patency for our vasovasostomy technique approaches 100%. The popularity of vasovasostomy in recent years can be attributed to improvements in operative technique, instrumentation, optics, and most importantly, patency rate. Conclusion(s): This video is the first published video demonstrating a step-by-step technique Use your smartphone for two-layered microsurgical vasovasostomy, as a method of training. (Fertil SterilÒ 2014;101: to scan this QR code e14. Ó2014 by American Society for Reproductive Medicine.) and connect to the Key Words: Vasovasostomy, sterilization reversal, video–audio media Discuss:You can discuss this article with its authors and with other ASRM members at http:// fertstertforum.com/lipshultzl- vasovasostomy-surgical-technique-video/
discussion forum for this article now.*
* Download a free QR code scanner by searching for “QR scanner” in your smartphone’s app store or app marketplace.
SUGGESTED READING 1.
Lipshultz LI, Rumohr JA, Bennett RC. Techniques for vasectomy reversal. Urol Clin North Am 2009;36:375–82.
Received August 1, 2013; revised October 19, 2013; accepted November 12, 2013; published online December 24, 2013. T.S.H. has nothing to disclose. R.M.C. has nothing to disclose. R.P.S. has nothing to disclose. J.R.K. has nothing to disclose. L.I.L. has nothing to disclose. Reprint requests: Larry I. Lipshultz, M.D., Baylor College of Medicine, Department of Urology, 6624 Fannin Street, Suite 1700, Houston, Texas 77030 (E-mail: [email protected]). Fertility and Sterility® Vol. 101, No. 3, March 2014 0015-0282/$36.00 Copyright© 2014 American Society for Reproductive Medicine, Published by Elsevier Inc. All rights reserved http://dx.doi.org/10.1016/j.fertnstert.2013.11.024 e14
VOL. 101 NO. 3 / MARCH 2014
Objective: To demonstrate a step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced urologic microsurgeon. Design: Video presentation. Setting: Baylor College of Medicine. Patient(s): This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal. Intervention(s): Vasovasostomy. Main Outcome Measure(s): Intraoperative technique with commentary highlighting tips for a successful anastomosis. Result(s): Microsurgical vasovasostomy by a fellowship-trained urologic microsurgeon yields superior results than macrosurgical approaches, particularly when epididymovasostomy is indicated. Patency for our vasovasostomy technique approaches 100%. The popularity of vasovasostomy in recent years can be attributed to improvements in operative technique, instrumentation, optics, and most importantly, patency rate. Conclusion(s): This video is the first published video demonstrating a step-by-step technique Use your smartphone for two-layered microsurgical vasovasostomy, as a method of training. (Fertil SterilÒ 2014;101: to scan this QR code e14. Ó2014 by American Society for Reproductive Medicine.) and connect to the Key Words: Vasovasostomy, sterilization reversal, video–audio media Discuss:You can discuss this article with its authors and with other ASRM members at http:// fertstertforum.com/lipshultzl- vasovasostomy-surgical-technique-video/
discussion forum for this article now.*
* Download a free QR code scanner by searching for “QR scanner” in your smartphone’s app store or app marketplace.
SUGGESTED READING 1.
Lipshultz LI, Rumohr JA, Bennett RC. Techniques for vasectomy reversal. Urol Clin North Am 2009;36:375–82.
Received August 1, 2013; revised October 19, 2013; accepted November 12, 2013; published online December 24, 2013. T.S.H. has nothing to disclose. R.M.C. has nothing to disclose. R.P.S. has nothing to disclose. J.R.K. has nothing to disclose. L.I.L. has nothing to disclose. Reprint requests: Larry I. Lipshultz, M.D., Baylor College of Medicine, Department of Urology, 6624 Fannin Street, Suite 1700, Houston, Texas 77030 (E-mail: [email protected]). Fertility and Sterility® Vol. 101, No. 3, March 2014 0015-0282/$36.00 Copyright© 2014 American Society for Reproductive Medicine, Published by Elsevier Inc. All rights reserved http://dx.doi.org/10.1016/j.fertnstert.2013.11.024 e14
VOL. 101 NO. 3 / MARCH 2014
