Experiences in the Re-Anastomosis of the Vas Deferens

Phadke, Gautam; Phadke, A.G.

doi:10.1016/s0022-5347(17)63143-4

Cited by 94 publications

(13 citation statements)

References 4 publications

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“…The popularity of the operation, combined with the increase in marital breakdown and separation of relationships, has resulted in more men requesting vasectomy reversal [1,2]. There are various techniques of vasovasotomy (VV), and several published studies show acceptable patency and pregnancy rates after macroscopic [3–6] or optical loupe‐assisted VV [7–10]. However, modern microsurgical techniques, as pioneered by Silber [11,12], remain the ‘gold standard’ with which all other techniques are compared.…”

Section: Introductionmentioning

confidence: 99%

Comparison of modified one‐ and two‐layer microsurgical vasovasostomy

Fischer¹,

Grantmyre²

2000

BJU International

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Section: Introductionmentioning

confidence: 99%

Comparison of modified one‐ and two‐layer microsurgical vasovasostomy

Fischer¹,

Grantmyre²

2000

BJU International

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“…The results Fig. 3 vary but among the best reported are those of Phadke and Phadke (1967), with a 55% rate of pregnancy and an 83% incidence of sperms in the ejaculate. They used a simple nylon splint with three 6/0 arterial silk stitches passed through the seromuscular layer only.…”

Section: Discussionmentioning

confidence: 94%

A Low Power Magnification Technique for Reanastomosis of the Vas

Urquhart-Hay

1981

British Journal of Urology

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Summary— Microsurgical reanastomosis of the vas following vasectomy should result in a pregnancy rate of 65% and the reappearance of sperms within the semen of 95% of patients, but the technique requires expensive and sophisticated equipment and considerable expertise. Comparable results were obtained using a simple and conventional technique in which fine sutures, splintage and low power magnification (x 3.5) were used, making it an acceptable procedure for the surgeon untrained in microsurgical techniques.

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“…Specific tissue effects will occur based on the type of laser utilized, the power density, and each individual tis- only two holding sutures. Since technical problems such as anastomotic strictures and sperm leakage have been the cause of many of these failures, the CO, laser can be of great benefit [1,9,[12][13][14]161.…”

Section: Discussionmentioning

confidence: 99%

Vasovasostomy in dogs using the carbon dioxide milliwatt laser: Part II

Seidmon¹,

Krisch²,

Baer³

et al. 1990

Lasers Surg Med

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This is the second study of a two-prong investigation conducted to learn two different aspects of vasovasostomy in dog vas deferens by using the carbon dioxide milliwatt laser. This investigation involves the evaluation of patency and analysis of sperm. Six dogs underwent vasectomy, followed by vasovasostomies performed between 4 and 12 weeks later, utilizing two approximating sutures and welding with the carbon dioxide milliwatt laser. Metal clips were used both for x-ray analysis and localization of the vasovasostomy site. All dogs had pre-vasectomy semen analysis. Following vasectomy each dog underwent ejaculation until azoospermia was obtained. Vasovasostomy was performed and semen was examined. Prior to harvesting, vasography was also obtained. All ejaculates had active sperm noted and 12 of 12 vasograms (100%) revealed patency. The dogs were sacrificed at 4 weeks, 6 weeks, and 8 weeks post-vasovasostomy. The vasovasostomy specimens were studied with electron microscopy and by histological evaluation. The vasovasostomy was completed in under 90 minutes by using this laser-assisted technique. This procedure offers to the urologist a more simplified and reproducible operation that can be performed easily and with a potential decrease in hospital costs.

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Experiences in the Re-Anastomosis of the Vas Deferens

Cited by 94 publications

References 4 publications

Comparison of modified one‐ and two‐layer microsurgical vasovasostomy

Comparison of modified one‐ and two‐layer microsurgical vasovasostomy

A Low Power Magnification Technique for Reanastomosis of the Vas

Vasovasostomy in dogs using the carbon dioxide milliwatt laser: Part II

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