title: Vasovasostomy: a step-by-step surgical technique video.
abstract: OBJECTIVE
  To demonstrate a step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced urologic microsurgeon.
  
  
  METHODS
  Video presentation.
  
  
  METHODS
  Baylor College of Medicine.
  
  
  METHODS
  This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal.
  
  
  METHODS
  Vasovasostomy.
  
  
  METHODS
  Intraoperative technique with commentary highlighting tips for a successful anastomosis.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  This video is the first published video demonstrating a step-by-step technique for two-layered microsurgical vasovasostomy, as a method of training.
authors.affiliation: Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
authors.forename: Tariq S
authors.initials: TS
authors.lastname: Hakky
authors.affiliation: Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Coward
authors.affiliation: Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Smith
authors.affiliation: Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
authors.forename: Jason R
authors.initials: JR
authors.lastname: Kovac
authors.affiliation: Scott Department of Urology, Baylor College of Medicine, Houston, Texas. Electronic address: larryl@bcm.edu.
authors.forename: Larry I
authors.initials: LI
authors.lastname: Lipshultz
mesh_terms: D004822:Epididymis / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D014649:Vas Deferens / Q000601:surgery; D014669:Vasovasostomy / Q000379:methods*
keywords: Vasovasostomy; sterilization reversal; video–audio media