This text will provide the reader with a user-friendly, step-by-step illustrated manual of how to prepare for and perform the state-of-the-art microsurgical techniques in vasovasostomy and vasoepididymostomy used by leading international experts. Initial chapters will address appropriate training, tools of the trade, use of the surgical microscope, and microsutures and microsurgical instrumentation. Additional chapters will address pre-operative issues and concerns, intra-operative challenges and complications, and post-operative dilemmas and care. Written by a leading international expert on state-of-the-art reversal techniques, this novel title will include the most up-to-date information and advances in care and management of men before, during, and after vasectomy reversal.

Autorentext

Sheldon H.F. Marks, MD

International Center for Vasectomy Reversal

Clinical Assistant Professor of Urology, University of Arizona College of Medicine

Tucson, Arizona, USA

Adjunct Assistant Professor of Urology

Tufts University/New England Medical Center Boston, Massachusetts, USA

Zusammenfassung

This text will fill that void and provide the reader with a user-friendly, step-by-step illustrated manual of how to prepare for and perform the state-of-the-art microsurgical techniques in vasovasostomy and vasoepididymostomy used by leading international experts. Initial chapters will address appropriate training, tools of the trade to include important points and use of the surgical microscope, microsutures and microsurgical instrumentation. Additional chapters will address pre-operative issues and concerns, intra-operative challenges and complications, and post-operative dilemmas and care. Written by a leading international expert who teaches classes and writes courses and book chapters on state-of-the-art reversal techniques, with additional commentary and alternative suggestions woven throughout the book chapters from other world leaders in urologic microsurgery, this novel title will include the most up-to-date information and advances in care and management of men before, during and after vasectomy reversal.

Inhalt
Introduction: The Purpose of this Book.- Who's a Candidate for a Vasectomy Reversal?.- Predicting Reversal Success.- Pre-Reversal Preparations.- Vasectomy Reversal-The First Steps.- Vasovasostomy: Multi-Layer Microsurgical Anastomosis.- Vasoepididymostomy: End-to-Side Longitudinal Multilayer Intussusception.- Intra-Operative Dilemmas and Challenges with Vasovasostomy and Vasoepididymostomy.- Andrology Care.- Post-Reversal Management and Care.- Complications of Vasectomy Reversals.- Sperm Kinetics after VV or VE and Reversal Failure.- Redo "Salvage" Vasectomy Reversal.- Past and Future Reversal Ideas.