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Advanced Techniques of Vasoepididymostomy

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Male Infertility

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Abstract

With advances in surgical technique and the development of microsurgical techniques, modern vasoepididymostomy allows us to accurately approximate the mucosa of a single epididymal tubule to the mucosa of the vasal lumen. With this increased precision, we have been able to achieve even higher patency and pregnancy rates. Microsurgical vasoepididymostomy, however, is the most technically demanding procedure in all of microsurgery. In virtually no other operation are results so dependent upon technical perfection. Thus, microsurgical vasoepididymostomy should only be attempted by an experienced microsurgeon who performs a sufficient volume of microsurgery. Modern IVF–ICSI has opened up reproductive options for those couples desiring fertility. This has caused some to question the need for advanced reconstructive reproductive tract surgery. However, in the hands of experienced microsurgeons, vasoepididymostomy is a safe, effective method of reconstruction for patients who do not want to undergo IVF or desire multiple children.

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Acknowledgments

Dr. Hsiao is supported by a grant from the Frederick J. and Theresa Dow Wallace Fund of the New York Community Trust.

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Authors and Affiliations

  1. Department of Urology, Emory University, 1365 Clifton Road, NE Building B, Suite 1400, Atlanta, GA, 30322, USA

    Wayland Hsiao MD (Assistant Professor in Urology)

  2. Cornell Institute for Reproductive Medicine, New York Presbyterian Hospital/Weill Cornell Medical Center, Weill Cornell Medical College of Cornell University, 525 East 68th Street, 580, New York, NY, 10021, USA

    Marc Goldstein MD

Authors
  1. Wayland Hsiao MD
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  2. Marc Goldstein MD
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Correspondence to Wayland Hsiao MD .

Editor information

Editors and Affiliations

  1. University of Florida, Director, Robotic Surgery, Winter Haven Hospital &, 200 Avenue F. N.E., Winter Haven, 33881, Florida, USA

    Sijo J. Parekattil

  2. Center for Reproductive Medicine, Department of Urology, Cleveland Clinic, Euclid Avenue 9500, Cleveland, 44195, Ohio, USA

    Ashok Agarwal

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Hsiao, W., Goldstein, M. (2012). Advanced Techniques of Vasoepididymostomy. In: Parekattil, S., Agarwal, A. (eds) Male Infertility. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3335-4_8

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  • DOI: https://doi.org/10.1007/978-1-4614-3335-4_8

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3334-7

  • Online ISBN: 978-1-4614-3335-4

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