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  • Title: Vasovasostomy: a step-by-step surgical technique video.
    Author: Hakky TS, Coward RM, Smith RP, Kovac JR, Lipshultz LI.
    Journal: Fertil Steril; 2014 Mar; 101(3):e14. PubMed ID: 24373494.
    Abstract:
    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.
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