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.