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  • Title: Recent advances in microsurgery of the male genitalia.
    Author: Silber SJ.
    Journal: Ann Chir Gynaecol; 1982; 71(1):80-96. PubMed ID: 6124205.
    Abstract:
    The effects of vasectomy on the likelihood of recovering fertility are reviewed. It was found that the secondary effects of pressure buildup on the epididymis after vasectomy were the causes of infertility even after an accurate vasovasostomy, and that bypass of the area of the secondary epididymal obstruction, or vasoepididymostomy, is required when fertility does not result after a perfect reanastomosis. Vasectomy technique assuring the greatest likelihood of reversibility is described. Techniques are also described for testicle autotransplantation for the high undescended testicle which involve the following questions: 1) whether transplantation of the testes to the scrotum will enhance the ultimate development of fertility as children grow up, and 2) what is the safest procedure. 5 cases are presented to illustrate various methods currently used, including microsurgical techniques. 2 cases in which testicla allotransplantation for anorchia was performed are presented as well.
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