Type of Surgery
Information
Last updated: 02/17/2009
A vasoepididymostomy may be performed if the physician determines that a vasovasostomy will be insufficient in restoring sperm flow. The determining factor is usually the absence of sperm or fluid in the testicular end of the cut vas deferens (which...
is found during surgery), although a swollen or blocked epididymis found during a preoperative scrotal examination may also indicate a vasoepididymostomy will be necessary.
There are some options available to men and their partners who are seeking to conceive after a vasectomy but wish to avoid vasectomy reversal. As sperm are no longer present in the man's ejaculate, they may be retrieved from the testicle or epididymis by extraction (removal of tissue) or aspiration (removed by a needle). The sperm may then be incubated with a female egg under carefully controlled conditions, then transferred to the female uterus once fertilization has occurred; this process is called in vitro fertilization (IVF). A process called intracytoplasmic sperm injection (ICSI) may be used to improve the success rate of IVF; in this procedure, a single sperm is injected into the female egg.
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Vasovasostomy (literally connection of the vas to the vas) is the surgery by which vasectomies are reversed in males.
It can be performed in the convoluted or straight portion of the vas deferens.
Vasovasostomy is typically an out-patient procedure (patient goes home the same day).
The medical term used to describe the reversal procedure is called vasovasostomy (a form of microsurgery first performed by Earl Owen in 1971). The physician can reconnect the sperm canal by performing a vas-to-vas connection (vasovasostomy). The term Vasectomy Reversal (vasovasostomy) is the process of reconnecting the tubes (vas deferens ) that were cut during a vasectomy Vasectomy reversal is usually an outpatient procedure without an overnight stay.
The procedure is typically performed by urologists. Most urologists specializing in the field of male infertility perform vasovasostomies using an operative microscope for magnification, under general or regional anesthesia.
Other Information
In 2000, the estimated number of hospital admissions among adults aged 18 or older with urinary incontinence listed as a diagnosis was of 47,802 hospital stays (1,332 men; 46,470 women).
From: NKUDIC
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