Vasovasostomy: a step-by-step
surgical technique video
Tariq S. Hakky, M.D., Robert M. Coward, M.D., Ryan P. Smith, M.D., Jason R. Kovac, M.D., Ph.D.,
and Larry I. Lipshultz, M.D.
Scott Department of Urology, Baylor College of Medicine, Houston, Texas
To demonstrate a step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced
Baylor College of Medicine.
This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal.
Main Outcome Measure(s):
Intraoperative technique with commentary highlighting tips for a successful anastomosis.
Microsurgical vasovasostomy by a fellowship-trained urologic microsurgeon yields superior results than macrosurgical
approaches, particularly when epididymovasostomy is indicated. Patency for our vasovasostomy technique approaches 100%. The
popularity of vasovasostomy in recent years can be attributed to improvements in operative technique, instrumentation, optics, and
most importantly, patency rate.
This video is the
rst published video demonstrating a step-by-step technique
for two-layered microsurgical vasovasostomy, as a method of training. (Fertil Steril
2014 by American Society for Reproductive Medicine.)
Vasovasostomy, sterilization reversal, video
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Lipshultz LI, Rumohr JA, Bennett RC. Techniques
for vasectomy reversal. Urol Clin North Am
Received August 1, 2013; revised October 19, 2013; accepted November 12, 2013; published online
December 24, 2013.
T.S.H. has nothing to disclose. R.M.C. has nothing to disclose. R.P.S. has nothing to disclose. J.R.K. has
nothing to disclose. L.I.L. has nothing to disclose.
Reprint requests: Larry I. Lipshultz, M.D., Baylor College of Medicine, Department of Urology, 6624
Fannin Street, Suite 1700, Houston, Texas 77030 (E-mail:
Fertility and Sterility® Vol. 101, No. 3, March 2014 0015-0282/$36.00
Copyright© 2014 American Society for Reproductive Medicine, Published by Elsevier Inc. All rights
VOL. 101 NO. 3 / MARCH 2014