Triangulation end-to-side vasoepididymostomy.
OBJECTIVE
A technique and the preliminary results of triangulation vasoepididymostomy are described.


METHODS
Triangulation vasoepididymostomy is performed by placing 3 double-armed 10-zero nylon sutures into the epididymis so that each suture forms 1 side of a triangle. An opening in the tubule is made between the sutures and they are brought inside-out, invaginating the epididymal tubule into the vas deferens.


RESULTS
Triangulation end-to-side vasoepididymostomy was performed bilaterally in 12 men, and sperm was found in the postoperative ejaculate of 11 (92%). Operative time was 156 +/- 14 minutes.


CONCLUSIONS
Triangulation vasoepididymostomy is reasonably successful in restoring sperm to the ejaculate and should be considered as an alternative method of vasoepididymostomy.
Berger
R E
RE
Department of Urology, University of Washington, Seattle, USA.
D000714:Anastomosis, Surgical; D004822:Epididymis / Q000601:surgery*; D006801:Humans; D008297:Male; D014649:Vas Deferens / Q000601:surgery*