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Crossed vasoepididymostomy: A step-by-step guide.


ABSTRACT: To document a step-by-step guide of crossed transeptal vasoepididymostomy with prioritization of crossover vas deferens measurement. Video presentation. University of Miami Lennar Surgical Center. The patient undergoing this procedure signed a written, informed consent for video and audio recording. 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. 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 | 2021 Sep

REPOSITORIES: biostudies-literature

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Crossed vasoepididymostomy: A step-by-step guide.

Reddy Rohit R   Lima Thiago Fernandes Negris TFN   Ory Jessy J   Ramasamy Ranjith R  

Urology video journal 20210602


<h4>Objective</h4>To document a step-by-step guide of crossed transeptal vasoepididymostomy with prioritization of crossover vas deferens measurement.<h4>Design</h4>Video presentation.<h4>Setting</h4>University of Miami Lennar Surgical Center.<h4>Patients</h4>The patient undergoing this procedure signed a written, informed consent for video and audio recording.<h4>Results</h4>No intraoperative complications were seen during the surgery, and the patient was discharged 6 h after the procedure. Thr  ...[more]

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