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Crossed vasoepididymostomy: A step-by-step guide.


ABSTRACT:

Objective

To document a step-by-step guide of crossed transeptal vasoepididymostomy with prioritization of crossover vas deferens measurement.

Design

Video presentation.

Setting

University of Miami Lennar Surgical Center.

Patients

The patient undergoing this procedure signed a written, informed consent for video and audio recording.

Results

No intraoperative complications were seen during the surgery, and the patient was discharged 6 h after the procedure. Through the steps detailed in the video and manuscript, a proper tubule into vas deferens invagination was formed.

Conclusions

Anatomical indications for crossed vasoepididymostomy exists in 6% of azoospermic males and procedural prevalence is increasing. With a standardized step-by-step procedural approach that prioritizes crossover vas deferens measurement, crossed vasoepididymostomy can be considered in couples desiring natural conception, with previous complications of ART or failed ART.

SUBMITTER: Reddy R 

PROVIDER: S-EPMC8291749 | biostudies-literature |

REPOSITORIES: biostudies-literature

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