R E Berger1. 1. Department of Urology, University of Washington, Seattle, USA.
Abstract
PURPOSE: A technique and the preliminary results of triangulation vasoepididymostomy are described. MATERIALS AND METHODS: Triangulation vasoepididymostomy is performed by placing 3 double-armed 10-zero nylon sutures into the epididymis so that each suture forms 1 side of a triangle. An opening in the tubule is made between the sutures and they are brought inside-out, invaginating the epididymal tubule into the vas deferens. RESULTS: Triangulation end-to-side vasoepididymostomy was performed bilaterally in 12 men, and sperm was found in the postoperative ejaculate of 11 (92%). Operative time was 156 +/- 14 minutes. CONCLUSIONS: Triangulation vasoepididymostomy is reasonably successful in restoring sperm to the ejaculate and should be considered as an alternative method of vasoepididymostomy.
PURPOSE: A technique and the preliminary results of triangulation vasoepididymostomy are described. MATERIALS AND METHODS: Triangulation vasoepididymostomy is performed by placing 3 double-armed 10-zero nylon sutures into the epididymis so that each suture forms 1 side of a triangle. An opening in the tubule is made between the sutures and they are brought inside-out, invaginating the epididymal tubule into the vas deferens. RESULTS: Triangulation end-to-side vasoepididymostomy was performed bilaterally in 12 men, and sperm was found in the postoperative ejaculate of 11 (92%). Operative time was 156 +/- 14 minutes. CONCLUSIONS: Triangulation vasoepididymostomy is reasonably successful in restoring sperm to the ejaculate and should be considered as an alternative method of vasoepididymostomy.
Authors: Ryan M Dickey; Alexander W Pastuszak; Tariq S Hakky; Aravind Chandrashekar; Ranjith Ramasamy; Larry I Lipshultz Journal: Curr Urol Rep Date: 2015-06 Impact factor: 3.092