Vasoepididymostomy: the role of the microscope.
Reconstructive surgery of the epididymis has been facilitated by the use of the microscope. The author describes his technique for end-to-end and end-to-side anastomoses and reports the results of reconstruction in 23 patients over a 10-year period. The pregnancy rate following reconstructive surgery was 39% overall: 40% after vasoepididymostomy (performed in 10 patients) and 35% after repair of primary epididymal obstruction (performed in 13 patients). With the aid of the microscope end-to-side and end-to-end anastomoses between the vas deferens and epididymis can be performed with greater precision because the anatomy can be defined precisely and reconstruction planned better.
D004822:Epididymis / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D013243:Sterilization Reversal / Q000379:methods; D013733:Testicular Diseases / Q000601:surgery; D014649:Vas Deferens / Q000601:surgery*