{"id":681,"date":"2021-03-08T18:51:17","date_gmt":"2021-03-08T16:51:17","guid":{"rendered":"https:\/\/urologiagirona.com\/?page_id=681"},"modified":"2021-03-08T18:51:19","modified_gmt":"2021-03-08T16:51:19","slug":"vaso-vastostomia","status":"publish","type":"page","link":"https:\/\/urologiagirona.com\/es\/vaso-vastostomia\/","title":{"rendered":"Vaso-vastostomia"},"content":{"rendered":"\n
\"vaso-vasostomia1\"<\/a><\/figure><\/div>\n\n\n\n

La vaso-vasostom\u00eda es la t\u00e9cnica quir\u00fargica que tiene como objetivo la reanastomosis o recanalizaci\u00f3n de los conductos deferentes que previamente se han seccionado en realizar la vasectom\u00eda.<\/strong><\/p>\n\n\n\n

La intervenci\u00f3n la realizamos bajo anestesia local y tiene una duraci\u00f3n aproximada de 3 horas. Se realiza en r\u00e9gimen ambulatorio.<\/span><\/p>\n\n\n\n

Factores Pron\u00f3sticos:<\/span><\/h3>\n\n\n\n
  • Experiencia del cirujano en microcirug\u00eda<\/span><\/li>
  • Tiempo de Obstrucci\u00f3n: Es decir tiempo transcurrido desde la vasectom\u00eda. La tasa de \u00e9xito (seminogramas positivos) seg\u00fan las \u00faltimas publicaciones * \/ **, es del:<\/span>\n
      \n
    • <5 a\u00f1os-96%<\/span><\/li>\n
    • 5-10 a\u00f1os -90%<\/span><\/li>\n
    • 10-15 a\u00f1os- 65%<\/span><\/li>\n
    • 15-20 a\u00f1os – 35%<\/span><\/li>\n<\/ul>\n<\/li><\/ul>\n\n\n\n

      Aunque el seminograma sea positivo puede que no se consiga un embarazo de manera espont\u00e1nea, aunque s\u00ed que puede que haga posible y simplifique las t\u00e9cnicas de reproducci\u00f3n asistida.<\/span><\/p>\n\n\n\n

      • T\u00e9cnica quir\u00fargica: Es imprescindible el uso de material y t\u00e9cnicas de microcirug\u00eda.<\/span><\/li>
      • Nivel de la obstrucci\u00f3n: Lo determina el lugar donde se practic\u00f3 la vasectom\u00eda. Cuando m\u00e1s alejados del test\u00edculo mejor, porque el di\u00e1metro del conducto deferente es mayor.<\/span><\/li><\/ul>\n\n\n\n

        Preparaci\u00f3n<\/span><\/h4>\n\n\n\n

        Ayuno de 5 horas y rasurado de la zona<\/span><\/p>\n\n\n\n

        \"\"<\/figure><\/div>\n\n\n\n

        Recuperaci\u00f3n:<\/span><\/h4>\n\n\n\n

        3 primeros d\u00edas con movimientos suaves y 20 d\u00edas sin relaciones (para asegurar la cicatrizaci\u00f3n de la sutura de los conductos deferentes).<\/span><\/p>\n\n\n\n

        Control<\/span><\/h4>\n\n\n\n

        1er An\u00e1lisis de semen a las 8 semanas. Si observamos la presencia de espermatozoides m\u00f3viles se realiza un nuevo control a las 16 semanas de la cirug\u00eda para observar el resultado final de la recanalizaci\u00f3n. Si en el primer control observamos una azoospermia (ausencia de espermatozoides), practicamos un nuevo an\u00e1lisis a las 16 semanas de la cirug\u00eda. Si este hecho persiste hasta las 32 semanas del procedimiento. Consideramos que no ha tenido \u00e9xito.<\/span><\/p>\n\n\n\n

        Otras Alternativas:<\/span><\/h4>\n\n\n\n

        Obtenci\u00f3n de espermatozoides mediante punci\u00f3n y biopsia del test\u00edculo, y con los espermatozoides obtenidos practicar una Fertilizaci\u00f3n in Vitro (FIV – ICSI).<\/span><\/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.<\/span><\/i><\/p>\n\n\n\n

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

        La vaso-vasostom\u00eda es la t\u00e9cnica quir\u00fargica que tiene como objetivo la reanastomosis o recanalizaci\u00f3n de los conductos deferentes que previamente se han seccionado en realizar la vasectom\u00eda. La intervenci\u00f3n la realizamos bajo anestesia local y tiene una duraci\u00f3n aproximada de 3 horas. Se realiza en r\u00e9gimen ambulatorio. Factores Pron\u00f3sticos: Experiencia del cirujano en microcirug\u00eda Tiempo […]<\/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-681","page","type-page","status-publish","hentry"],"yoast_head":"\nVaso-vastostomia - 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\/es\/vaso-vastostomia\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vaso-vastostomia - Urologia Girona\" \/>\n<meta property=\"og:description\" content=\"La vaso-vasostom\u00eda es la t\u00e9cnica quir\u00fargica que tiene como objetivo la reanastomosis o recanalizaci\u00f3n de los conductos deferentes que previamente se han seccionado en realizar la vasectom\u00eda. La intervenci\u00f3n la realizamos bajo anestesia local y tiene una duraci\u00f3n aproximada de 3 horas. Se realiza en r\u00e9gimen ambulatorio. 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