{"id":920,"date":"2021-05-20T12:21:41","date_gmt":"2021-05-20T10:21:41","guid":{"rendered":"https:\/\/urologiagirona.com\/vasovasostomy\/"},"modified":"2021-05-20T12:28:03","modified_gmt":"2021-05-20T10:28:03","slug":"vasovasostomy","status":"publish","type":"page","link":"https:\/\/urologiagirona.com\/en\/vasovasostomy\/","title":{"rendered":"Vasovasostomy"},"content":{"rendered":"\n
\"vaso-vasostomia1\"<\/a><\/figure><\/div>\n\n\n\n

Vasovasostomy is the surgical technique that aims to anastomosis or recanalize the vas deferens that have previously been sectioned by performing a vasectomy.<\/strong><\/p>\n\n\n\n

The intervention is performed under local anaesthesia and lasts approximately 3 hours. It is done on an outpatient basis.<\/p>\n\n\n\n

Prognostic Factors:<\/h3>\n\n\n\n
  • Surgeon’s experience in microsurgery<\/li>
  • Obstruction Time: That is, time elapsed since the vasectomy. The success rate (positive seminograms) according to the latest publications * \/ **, is:
    • <5 years – 96%<\/li>
    • 5-10 years – 90%<\/li>
    • 10-15 years – 65%<\/li>
    • 15-20 years  – 35%<\/li><\/ul><\/li><\/ul>\n\n\n\n

      Although the seminogram is positive, a pregnancy may not be achieved spontaneously, although it may simplify and make assisted reproductive techniques possible.<\/p>\n\n\n\n

      • Surgical technique: The use of microsurgical material and techniques is essential.<\/li>
      • Level of obstruction: Determined by where the vasectomy was performed. The further away from the testicle the better, because the diameter of the vas deferens is greater.<\/li><\/ul>\n\n\n\n

        Preparation:<\/h4>\n\n\n\n
        \"\"<\/figure><\/div>\n\n\n\n

        5-hour fast and shaving of the area.<\/p>\n\n\n\n

        Recovery:<\/h4>\n\n\n\n

        Gentle movements the first 3 days and 20 days without practicing intercourse (to ensure healing of the suture of the vas deferens).<\/p>\n\n\n\n

        Control:<\/h4>\n\n\n\n

        1st semen analysis at 8 weeks. If we observe the presence of motile sperm, a new control is carried out 16 weeks after surgery to observe the result of recanalization. If in the first control we observe azoospermia (absence of sperm), we perform a new analysis 16 weeks after surgery. If this fact persists until 32 weeks after the procedure, we consider that it has not been successful.<\/p>\n\n\n\n

        Other Alternatives:<\/h4>\n\n\n\n

        Obtaining sperm by puncture and biopsy of the testicle, and with the sperm obtained, practice an In Vitro Fertilization (IVF – ICSI).<\/p>\n\n\n\n

        * Vasectomy Reversal Outcomes Among Patients With Vasal Obstructive Intervalos Greater Than 10 Years.Grober ED, Karpman E, Fanipour M.Urology. 2013 Nov 6.<\/em><\/p>\n\n\n\n

        ** Current status of vasectomy reversal. Schwarzer JU, Steinfatt H.Nat Rev Urola. 2013 Apr; 10 (4): 195-205.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

        Vasovasostomy is the surgical technique that aims to anastomosis or recanalize the vas deferens that have previously been sectioned by performing a vasectomy. The intervention is performed under local anaesthesia and lasts approximately 3 hours. It is done on an outpatient basis. Prognostic Factors: Surgeon’s experience in microsurgery Obstruction Time: That is, time elapsed since […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-920","page","type-page","status-publish","hentry"],"yoast_head":"\nVasovasostomy - Urologia Girona<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urologiagirona.com\/en\/vasovasostomy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vasovasostomy - Urologia Girona\" \/>\n<meta property=\"og:description\" content=\"Vasovasostomy is the surgical technique that aims to anastomosis or recanalize the vas deferens that have previously been sectioned by performing a vasectomy. 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