Grafting Techniques for Vasectomy Reversal

Henry M. Rosevear; Moshe Wald

doi:10.1007/978-1-4614-3335-4_9

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Book chapter

Grafting Techniques for Vasectomy Reversal

Henry M. Rosevear and Moshe Wald

Male Infertility, pp.99-106

Springer New York

05/02/2012

DOI: 10.1007/978-1-4614-3335-4_9

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Abstract

Grafting of the male reproductive tract is an exciting new area of tissue engineering which may allow natural conception for patients with significant lengths of obstructed vas deferens. While stents had a significant and important role in increasing patency and pregnancy rates in the pre-microsurgical era, their role in the modern era of microsurgical two-layered anastomosis remains to be defined. To date, if the vasal obstruction is amenable to a primary watertight, tension-free anastomosis, microsurgical non-stented techniques remain the gold standard. Cases where a tension-free anastomosis is not possible because of the physical length of the obstruction remain problematic, but further research into tissue engineering in the form of implantable conduits holds much promise.

Chlamydial epididymitis

Congenital prostatic cysts

Gonorrheal urethritis

Microsurgical two-layered anastomosis

Obstruction of the vas deferens

Obstructive epididymitis

Partial vasal agenesis

Spontaneous recanalization

Tuberculous epididymitis

Two-layered vasovasostomy

Details

Title: Subtitle: Grafting Techniques for Vasectomy Reversal
Creators: Henry M. Rosevear - University of Iowa
Moshe Wald - University of Iowa
Resource Type: Book chapter
Publication Details: Male Infertility, pp.99-106
Publisher: Springer New York; New York, NY
DOI: 10.1007/978-1-4614-3335-4_9
Language: English
Date published: 05/02/2012
Academic Unit: Urology
Record Identifier: 9984319970202771

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