Advertisement

Robotic-Assisted Microsurgical Varicocelectomy

  • Mohamed H. Etafy
  • Richard A. Mendelson
  • Sijo J. Parekattil
Chapter

Abstract

The purpose of this chapter is a contemporary review of the use of robotic microsurgical techniques for the purpose of fertility improvement in males. The robotic-assisted microsurgical subinguinal varicocelectomy technique will be discussed in detail. There are potential benefits in terms of decreased surgeon fatigue and improved surgical efficiency when utilizing a robotic platform for such procedures. This chapter presents the technique and early outcomes of some high-volume centers utilizing this technique.

Keywords

Robotic Microsurgery Fertility DaVinci Varicocelectomy 

References

  1. 1.
    Lanfranco AR, Castellanos AE, Desai JP, Meyers WC. Robotic surgery: a current perspective. Ann Surg. 2004;239(1):14–21.CrossRefGoogle Scholar
  2. 2.
    Schiff J, Li PS, Goldstein M. Robotic microsurgical vasovasostomy and vasoepididymostomy: a prospective randomized study in a rat model. J Urol. 2004;171(4):1720–5.CrossRefGoogle Scholar
  3. 3.
    The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. World Health Organization. Fertil Steril. 1992;57(6):1289–93.Google Scholar
  4. 4.
    Schauer I, Madersbacher S, Jost R, Hubner WA, Imhof M. The impact of varicocelectomy on sperm parameters: a meta-analysis. J Urol. 2012;187(5):1540–7.CrossRefGoogle Scholar
  5. 5.
    Parekattil SJ, Brahmbhatt JV. Robotic approaches for male infertility and chronic orchialgia microsurgery. Curr Opin Urol. 2011;21(6):493–9.CrossRefGoogle Scholar
  6. 6.
    Etafy M, Gudeloglu A, Brahmbhatt JV, Parekattil SJ. Review of the role of robotic surgery in male infertility. Arab J Urol. 2018;16(1):148–56.CrossRefGoogle Scholar
  7. 7.
    Shu T, Taghechian S, Wang R. Initial experience with robot-assisted varicocelectomy. Asian J Androl. 2008;10(1):146–8.CrossRefGoogle Scholar
  8. 8.
    Mechlin C, McCullough A. V1590 robotic microsurgical varicocele repair: initial experience and surgical outcomes from a single academic center. J Urol. 2013;189(4):e652–e3.Google Scholar
  9. 9.
    McCullough A, Elebyjian L, Ellen J, Mechlin C. A retrospective review of single-institution outcomes with robotic-assisted microsurgical varicocelectomy. Asian J Androl. 2018;20(2):189–94.CrossRefGoogle Scholar
  10. 10.
    Cocuzza M, Pagani R, Coelho R, Srougi M, Hallak J. The systematic use of intraoperative vascular Doppler ultrasound during microsurgical subinguinal varicocelectomy improves precise identification and preservation of testicular blood supply. Fertil Steril. 2010;93(7):2396–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mohamed H. Etafy
    • 1
    • 2
  • Richard A. Mendelson
    • 3
  • Sijo J. Parekattil
    • 4
  1. 1.Al-Azhar University HospitalAssiutEgypt
  2. 2.Department of UrologyPUR Clinic, South Lake HospitalClermontUSA
  3. 3.Department of Graduate PsychologyKeiser UniversityFt. LauderdaleUSA
  4. 4.Personalized Urology & Robotics, The PUR Clinic & University of Central FloridaClermontUSA

Personalised recommendations