Advances in Male Reproductive Surgery: Robotic-Assisted Vasovasostomy
Identifieur interne : 002579 ( Pmc/Curation ); précédent : 002578; suivant : 002580Advances in Male Reproductive Surgery: Robotic-Assisted Vasovasostomy
Auteurs : Saad Elzanaty [Suède] ; Gert Dohle [Pays-Bas]Source :
- Current Urology [ 1661-7649 ] ; 2012.
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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<author><name sortKey="Elzanaty, Saad" sort="Elzanaty, Saad" uniqKey="Elzanaty S" first="Saad" last="Elzanaty">Saad Elzanaty</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Urology, Ystad Hospital, Lund University, Ystad, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Urology, Ystad Hospital, Lund University, Ystad</wicri:regionArea>
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<author><name sortKey="Dohle, Gert" sort="Dohle, Gert" uniqKey="Dohle G" first="Gert" last="Dohle">Gert Dohle</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Urology, Erasmus medical Center, Rotterdam, the Netherlands</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Department of Urology, Erasmus medical Center, Rotterdam</wicri:regionArea>
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<author><name sortKey="Elzanaty, Saad" sort="Elzanaty, Saad" uniqKey="Elzanaty S" first="Saad" last="Elzanaty">Saad Elzanaty</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Urology, Ystad Hospital, Lund University, Ystad, Sweden</nlm:aff>
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<author><name sortKey="Dohle, Gert" sort="Dohle, Gert" uniqKey="Dohle G" first="Gert" last="Dohle">Gert Dohle</name>
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<series><title level="j">Current Urology</title>
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<front><div type="abstract" xml:lang="en"><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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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Curr Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">Curr Urol</journal-id>
<journal-id journal-id-type="publisher-id">CUR</journal-id>
<journal-title-group><journal-title>Current Urology</journal-title>
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<issn pub-type="ppub">1661-7649</issn>
<issn pub-type="epub">1661-7657</issn>
<publisher><publisher-name>S. Karger AG</publisher-name>
<publisher-loc>Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch</publisher-loc>
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<article-id pub-id-type="doi">10.1159/000343523</article-id>
<article-id pub-id-type="publisher-id">cur-0006-0113</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
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<title-group><article-title>Advances in Male Reproductive Surgery: Robotic-Assisted Vasovasostomy</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Elzanaty</surname>
<given-names>Saad</given-names>
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<xref ref-type="aff" rid="aff1"><sup>a</sup>
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<xref ref-type="corresp" rid="cor1">*</xref>
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<contrib contrib-type="author"><name><surname>Dohle</surname>
<given-names>Gert</given-names>
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<xref ref-type="aff" rid="aff2"><sup>b</sup>
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<aff id="aff1"><sup>a</sup>
Department of Urology, Ystad Hospital, Lund University, Ystad, Sweden</aff>
<aff id="aff2"><sup>b</sup>
Department of Urology, Erasmus medical Center, Rotterdam, the Netherlands</aff>
<author-notes><corresp id="cor1">*Dr. Saad Elzanaty, Department of Urology, Ystad Hospital, SE–27133 Ystad (Sweden), E-Mail <email>saad.elzanaty@med.lu.se</email>
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<pub-date pub-type="epub"><day>21</day>
<month>12</month>
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<pub-date pub-type="pmc-release"><day>21</day>
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<year>2012</year>
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<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
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<volume>6</volume>
<issue>3</issue>
<fpage>113</fpage>
<lpage>117</lpage>
<history><date date-type="received"><day>3</day>
<month>5</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>31</day>
<month>5</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2012 by S. Karger AG, Basel</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<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>
</abstract>
<kwd-group><title>Key Words</title>
<kwd>Robotic surgery</kwd>
<kwd>Vasectomy reversal</kwd>
<kwd>Vasovasostomy</kwd>
</kwd-group>
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<ref-count count="23"></ref-count>
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