Vasovasostomy: a step-by-step surgical technique video.

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 for two-layered microsurgical vasovasostomy, as a method of training.