Simple biplane vasovasostomy: surgical technique and results

Abstract

Background:We have developed a new vasovasostomy surgical procedure called the ''simple biplane'' technique, which aims to simplify vasectomy reversal. The effectiveness of this technique, depending on the obstructive interval, can be tested by the presence of sperm in semen as well as pregnancy rates obtained.Methods: This study prospectively evaluated 68 microsurgical vasovasostomies, using the simple biplane technique, in patients with different periods of obstruction. Results: After vasectomy reversal average rates of 85% for sperm presence and 51% for pregnancy were observed. Our results do not seem to be influenced by the duration of the obstructive interval. With this technique, excellent results for sperm count and pregnancy rates could be achieved in patients with long-term obstructive intervals. Conclusions: With results similar to those described in the literature, the simple biplane technique offers an easy, safe and low-cost procedure. More studies are necessary to compare, in terms of pregnancy rates, simple biplane with more complex techniques for the longest obstructive intervals.

Vasovasostomy: A systematic review and meta‐analysis comparing macroscopic, microsurgical, and robot‐assisted microsurgical techniques

“…Ultimately, 95 studies were included in this review. Eighty studies were included in the quantitative analyses, 25–104 whereas 15 studies were only included in the quantitative synthesis (Figure 1). 105–119 …”