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Advances in Male Reproductive Surgery: Robotic-Assisted Vasovasostomy

Identifieur interne : 003058 ( Ncbi/Merge ); précédent : 003057; suivant : 003059

Advances in Male Reproductive Surgery: Robotic-Assisted Vasovasostomy

Auteurs : Saad Elzanaty [Suède] ; Gert Dohle [Pays-Bas]

Source :

RBID : PMC:3783282

Abstract

It is estimated that 3–6% of all vasectomised men request vasectomy reversal for different reasons. Microsurgical vasovasostomy is the gold standard technique of vasectomy reversal. However, the microsurgical technique is time-consuming and challenging to most urological surgeons. Therefore, alternative methods of vasal anastomosis have been studied including robotic-assisted vasovasostomy. This review discusses the feasibility and practice of robotic-assisted vasovasostomy. Based on the available studies robotic-assisted vasovasostomy is feasible. The reported rate of vasal patency associated with this new technique is similar to that of microsurgical vasovasostomy. There is no clear difference between the 2 approaches in terms of operating time. Robotic-assisted vasovasostomy does not appear to afford significant advantages in the era of vasectomy reversal.


Url:
DOI: 10.1159/000343523
PubMed: 24917727
PubMed Central: 3783282

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PMC:3783282

Le document en format XML

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<nlm:aff id="aff1">Department of Urology, Ystad Hospital, Lund University, Ystad, Sweden</nlm:aff>
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<p>It is estimated that 3–6% of all vasectomised men request vasectomy reversal for different reasons. Microsurgical vasovasostomy is the gold standard technique of vasectomy reversal. However, the microsurgical technique is time-consuming and challenging to most urological surgeons. Therefore, alternative methods of vasal anastomosis have been studied including robotic-assisted vasovasostomy. This review discusses the feasibility and practice of robotic-assisted vasovasostomy. Based on the available studies robotic-assisted vasovasostomy is feasible. The reported rate of vasal patency associated with this new technique is similar to that of microsurgical vasovasostomy. There is no clear difference between the 2 approaches in terms of operating time. Robotic-assisted vasovasostomy does not appear to afford significant advantages in the era of vasectomy reversal.</p>
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Department of Urology, Ystad Hospital, Lund University, Ystad, Sweden</aff>
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Department of Urology, Erasmus medical Center, Rotterdam, the Netherlands</aff>
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<copyright-statement>Copyright © 2012 by S. Karger AG, Basel</copyright-statement>
<copyright-year>2012</copyright-year>
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<abstract>
<p>It is estimated that 3–6% of all vasectomised men request vasectomy reversal for different reasons. Microsurgical vasovasostomy is the gold standard technique of vasectomy reversal. However, the microsurgical technique is time-consuming and challenging to most urological surgeons. Therefore, alternative methods of vasal anastomosis have been studied including robotic-assisted vasovasostomy. This review discusses the feasibility and practice of robotic-assisted vasovasostomy. Based on the available studies robotic-assisted vasovasostomy is feasible. The reported rate of vasal patency associated with this new technique is similar to that of microsurgical vasovasostomy. There is no clear difference between the 2 approaches in terms of operating time. Robotic-assisted vasovasostomy does not appear to afford significant advantages in the era of vasectomy reversal.</p>
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