Mini-incision Vasectomy Reversal Using the No-Scalpel Vasectomy Instruments and Principles

Abstract

Vasectomy reversal has a variety of described techniques, and these continue to evolve in current surgical practice. At the University of Toronto, we developed the “mini-incision” for vasectomy reversal using the principles and instruments used for the no-scalpel vasectomy. This has now evolved, in selected cases, to “single mini-incision.” By taking advantage of the compliance of the scrotal wall, a substantial length of vas deferens can be delivered through a mini-incision. By avoiding a longer incision, delivery of the testicle, and more extensive tissue dissection, we have shown a reduction in postoperative pain and a faster return to daily activities. This is achieved without compromising patient outcomes.