vasovasostomy techniques for microsurgery specialists

Abstract

Every year, roughly 500,000 vasectomies are performed in the USA, and it is estimated that up to 6% of these men will eventually request a reversal [1, 2]. Surgical technique has evolved since Dr. William Quinby performed the first vasovasostomy in 1919 [3], and microsurgicalrepair with the aid of stenting or loupe magnification has largely been replaced by microsurgical approaches. The improved visualization and stabilization the operating microscope provides are well suited for re-approximating a delicate, 0.3 mm diameter structure like the vas deferens.This chapter provides a brief history of vasal repair, an overview of the authors' preferred technique for microsurgical vasovasostomy, and evidence-based recommendations for preoperative and postoperative care