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. (c) 2014 by American Society for Reproductive Medicine.