title: Robotic assisted versus pure microsurgical vasectomy reversal: technique and prospective database control trial.
abstract: Microsurgical vasectomy reversal is a technically demanding procedure. Previous studies have shown the possible benefit of robotic assistance during such procedures. Our goal was to compare robotic assisted vasovasostomy and vasoepididymostomy to standard microsurgical vasovasostomy (MVV) and vasoepididymostomy (MVE). The use of robotic assistance for vasectomy reversal may provide the microsurgeon with improved visualization, elimination of tremor, and decreased fatigue and obviate the need for a skilled microsurgical assistant. This study provides the first clinical prospective control trial of robotic assisted versus pure microsurgical vasectomy reversal. The use of robotic assistance in microsurgical vasovasostomy and vasoepididymostomy may have benefit over MVV and MVE with regards to decreasing operative duration and improving the rate of recovery of postoperative total motile sperm counts based on our study.
authors: Division of Robotics and Urology, Department of Urology, Winter Haven Hospital, University of Florida, Winter Haven, Florida 33881, USA. esijo.parekattil@winterhavenhospital.org
authors: Sijo J
authors: SJ
authors: Parekattil
authors: Ahmet
authors: A
authors: Gudeloglu
authors: Jamin
authors: J
authors: Brahmbhatt
authors: Jessica
authors: J
authors: Wharton
authors: Karen B
authors: KB
authors: Priola
mesh_terms: D000328:Adult; D004822:Epididymis / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery; D011446:Prospective Studies; D012371:Robotics; D013076:Sperm Count; D013536:Suture Techniques; D014669:Vasovasostomy / Q000379:methods*