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Vasectomy Reversal pp 51–82Cite as

Vasectomy Reversal: The First Steps

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Abstract

Performing a correctly performed microsurgical vasectomy reversal is so much more than throwing a few microsutures. There are a number of preparations the surgeon should take as well as key concepts before and during the reversal to ensure that the patient receives the very best care and surgical outcomes. It is important to understand crucial principals about preserving the tissues, locating the vasal defect, confirming abdominal patency, and transecting the vas. Analysis of the vasal fluid, both gross and microscopic, guides the intraoperative decision-making as to whether to perform a vasovasostomy or vasoepididymostomy. Challenges often occur with indeterminate vasal fluid with concerns about cross contamination. Sperm banking during the reversal is an option to be discussed preoperatively with the patient.

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Authors and Affiliations

  1. University of Arizona College of Medicine, International Center Vasectomy Reversal, Tucson, AZ, USA

    Sheldon H. F. Marks

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  1. Sheldon H. F. Marks
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Marks, S.H.F. (2019). Vasectomy Reversal: The First Steps. In: Vasectomy Reversal . Springer, Cham. https://doi.org/10.1007/978-3-030-00455-2_5

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  • DOI: https://doi.org/10.1007/978-3-030-00455-2_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-00454-5

  • Online ISBN: 978-3-030-00455-2

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