Vasoepididymal anastomosis is a miscrosurgical procedure performed to treat male infertility caused by the blockage of the epididymis (sperm transporting tube that connects testis to vas deferens) due to illness or to reverse a prior sterilization surgery called vasectomy, which involves the cutting of the vas deferens (tubes carrying sperm to the penis). Vasoepididymal anastomosis is performed under epidural block or general anesthesia in an outpatient setting. Your surgeon makes a vertical incision in your scrotum to expose the testis, epididymis and vas deferens. The vas deferens is then isolated and brought adjacent to the epididymis. Your doctor microscopically examines the epididymis for the presence of the obstruction. The epididymis is incisedand examined for the presence of sperm. If sperm are present, your doctor joins the vas deferens to the epididymis with the help of fine sutures. Your surgeon carries out the procedure under microscopic magnification. The incision is sutured and you will be discharged from the hospital following recovery.
Like all surgeries, vasoepididymal anastomosis may be associated with certain complications such as infections, hematoma (collection of blood within the tissues) and testicular atrophy (reduction in size of the testis).
There are alternate minimally invasive/laparoscopic procedures that can be availed of. The open vasoepididymal anastomosis is restricted to selected cases only. Your surgeon will discuss your options with you based on your particular medical history.
NMC UroCare provides specialized and experienced urologists and the best available quality treatments. For further information regarding Open Vasoepididymal Anastomosis, please contact NMC UroCareat http://www.nmcurocare.ae/contact-us/