{"id":809,"date":"2021-05-07T11:48:37","date_gmt":"2021-05-07T09:48:37","guid":{"rendered":"https:\/\/urologiagirona.com\/vaso-vasostomie\/"},"modified":"2021-05-07T11:52:09","modified_gmt":"2021-05-07T09:52:09","slug":"vaso-vasostomie","status":"publish","type":"page","link":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/","title":{"rendered":"Vaso-vasostomie"},"content":{"rendered":"\n
\"vaso-vasostomia1\"<\/a><\/figure><\/div>\n\n\n\n

La vaso-vasostomie est la technique chirurgicale qui vise \u00e0 r\u00e9anastomose et \u00e0 recanaliser les canaux d\u00e9f\u00e9rents pr\u00e9alablement sectionn\u00e9s lors de la vasectomie<\/strong>.<\/p>\n\n\n\n

L’op\u00e9ration est r\u00e9alis\u00e9e sous anesth\u00e9sie locale et dure environ 3 heures. Elle est r\u00e9alis\u00e9e en ambulatoire.<\/p>\n\n\n\n

Facteurs pronostiques:<\/strong><\/h4>\n\n\n\n
  • Exp\u00e9rience du chirurgien en microchirurgie<\/li>
  • Temps d’obstruction: c’est-\u00e0-dire le temps \u00e9coul\u00e9 depuis la vasectomie<\/li><\/ul>\n\n\n\n

    Le taux de r\u00e9ussite (s\u00e9minogrammes positifs) selon les derni\u00e8res publications * \/ **, est:<\/p>\n\n\n\n

    • <5 ans – 96%<\/li>
    • 5-10 ans \u201490%<\/li>
    • 10-15 ans\u2014- 65%<\/li>
    • 15-20 ans – 35%<\/li><\/ul>\n\n\n\n

      M\u00eame si le s\u00e9minogramme<\/strong> est positif, une grossesse peut ne pas \u00eatre r\u00e9alis\u00e9e spontan\u00e9ment, bien qu’elle puisse rendre possible et simplifier les techniques de procr\u00e9ation assist\u00e9e.<\/p>\n\n\n\n

      • Technique chirurgicale: L’utilisation d’\u00e9quipements et de techniques microchirurgicales est essentielle.<\/li>
      • Niveau d’obstruction: il est d\u00e9termin\u00e9 par l’endroit o\u00f9 la vasectomie a \u00e9t\u00e9 r\u00e9alis\u00e9e. D’autant plus \u00e9loign\u00e9 le testicule est mieux, c’est car le diam\u00e8tre du canal d\u00e9f\u00e9rent est plus grand.<\/li><\/ul>\n\n\n\n

        Pr\u00e9paration<\/strong><\/h4>\n\n\n\n
        \"\"<\/figure><\/div>\n\n\n\n

        5 heures de je\u00fbne et de rasage de la zone<\/p>\n\n\n\n

        R\u00e9cup\u00e9ration:<\/strong><\/p>\n\n\n\n

        3 premiers jours avec des mouvements doux et 20 jours sans rapport sexuel (pour assurer la cicatrisation de la suture du canal d\u00e9f\u00e9rent).<\/p>\n\n\n\n

        Contr\u00f4ler<\/strong><\/h4>\n\n\n\n

        1\u00e8re analyse de sperme \u00e0 8 semaines. Si la pr\u00e9sence de spermatozo\u00efdes mobiles est observ\u00e9e, un nouveau contr\u00f4le est effectu\u00e9 \u00e0 16 semaines apr\u00e8s la chirurgie pour observer le r\u00e9sultat final de la recanalisation. Si dans le premier contr\u00f4le on observe une azoospermie (absence de spermatozo\u00efdes), on pratique une nouvelle analyse apr\u00e8s 16 semaines de chirurgie. Si ce fait persiste jusqu’\u00e0 32 semaines de la proc\u00e9dure. Nous consid\u00e9rons qu\u2019il n\u2019a pas \u00e9t\u00e9 couronn\u00e9 de succ\u00e8s. <\/p>\n\n\n\n

        Autres alternatives:<\/strong><\/h4>\n\n\n\n

        Obtention de spermatozo\u00efdes par ponction et biopsie du testicule, et avec le sperme obtenu pour r\u00e9aliser une f\u00e9condation in vitro (FIV – ICSI).<\/p>\n\n\n\n

        *Vasectomy Reversal Outcomes Among Patients With Vasal Obstructive Intervals 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 Urol. 2013 Apr;10(4):195-205<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

        La vaso-vasostomie est la technique chirurgicale qui vise \u00e0 r\u00e9anastomose et \u00e0 recanaliser les canaux d\u00e9f\u00e9rents pr\u00e9alablement sectionn\u00e9s lors de la vasectomie. L’op\u00e9ration est r\u00e9alis\u00e9e sous anesth\u00e9sie locale et dure environ 3 heures. Elle est r\u00e9alis\u00e9e en ambulatoire. Facteurs pronostiques: Exp\u00e9rience du chirurgien en microchirurgie Temps d’obstruction: c’est-\u00e0-dire le temps \u00e9coul\u00e9 depuis la vasectomie Le […]<\/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-809","page","type-page","status-publish","hentry"],"yoast_head":"\nVaso-vasostomie - 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\/fr\/vaso-vasostomie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vaso-vasostomie - Urologia Girona\" \/>\n<meta property=\"og:description\" content=\"La vaso-vasostomie est la technique chirurgicale qui vise \u00e0 r\u00e9anastomose et \u00e0 recanaliser les canaux d\u00e9f\u00e9rents pr\u00e9alablement sectionn\u00e9s lors de la vasectomie. L’op\u00e9ration est r\u00e9alis\u00e9e sous anesth\u00e9sie locale et dure environ 3 heures. Elle est r\u00e9alis\u00e9e en ambulatoire. Facteurs pronostiques: Exp\u00e9rience du chirurgien en microchirurgie Temps d’obstruction: c’est-\u00e0-dire le temps \u00e9coul\u00e9 depuis la vasectomie Le […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/\" \/>\n<meta property=\"og:site_name\" content=\"Urologia Girona\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-07T09:52:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/\",\"url\":\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/\",\"name\":\"Vaso-vasostomie - Urologia Girona\",\"isPartOf\":{\"@id\":\"https:\/\/urologiagirona.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg\",\"datePublished\":\"2021-05-07T09:48:37+00:00\",\"dateModified\":\"2021-05-07T09:52:09+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#primaryimage\",\"url\":\"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg\",\"contentUrl\":\"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Inici\",\"item\":\"https:\/\/urologiagirona.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Vaso-vasostomie\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/urologiagirona.com\/#website\",\"url\":\"https:\/\/urologiagirona.com\/\",\"name\":\"Urologia Girona \/ Cl\u00ednica Urologia Girona\",\"description\":\"Som especialistes en cirurgia rob\u00f2tica i m\u00ednimament invasiva per el tractament de patologia prost\u00e0tica ( l\u00e0ser de pr\u00f2stata, Robot Da Vinci, ter\u00e0pia focal), patologia renal (c\u00e0ncer, litiasis, cirurgia rob\u00f2tica i laparosc\u00f2pia) i vesical (tumors de bufeta).\",\"publisher\":{\"@id\":\"https:\/\/urologiagirona.com\/#organization\"},\"alternateName\":\"Cl\u00ednica Urologia Girona\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/urologiagirona.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/urologiagirona.com\/#organization\",\"name\":\"Urologia Girona \/ Cl\u00ednica Urologia Girona\",\"url\":\"https:\/\/urologiagirona.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/urologiagirona.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/urologiagirona.com\/wp-content\/uploads\/2020\/11\/logo_urologia_girona.jpg\",\"contentUrl\":\"https:\/\/urologiagirona.com\/wp-content\/uploads\/2020\/11\/logo_urologia_girona.jpg\",\"width\":600,\"height\":341,\"caption\":\"Urologia Girona \/ Cl\u00ednica Urologia Girona\"},\"image\":{\"@id\":\"https:\/\/urologiagirona.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Vaso-vasostomie - Urologia Girona","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/","og_locale":"fr_FR","og_type":"article","og_title":"Vaso-vasostomie - Urologia Girona","og_description":"La vaso-vasostomie est la technique chirurgicale qui vise \u00e0 r\u00e9anastomose et \u00e0 recanaliser les canaux d\u00e9f\u00e9rents pr\u00e9alablement sectionn\u00e9s lors de la vasectomie. L’op\u00e9ration est r\u00e9alis\u00e9e sous anesth\u00e9sie locale et dure environ 3 heures. Elle est r\u00e9alis\u00e9e en ambulatoire. Facteurs pronostiques: Exp\u00e9rience du chirurgien en microchirurgie Temps d’obstruction: c’est-\u00e0-dire le temps \u00e9coul\u00e9 depuis la vasectomie Le […]","og_url":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/","og_site_name":"Urologia Girona","article_modified_time":"2021-05-07T09:52:09+00:00","og_image":[{"url":"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg","type":"","width":"","height":""}],"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/","url":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/","name":"Vaso-vasostomie - Urologia Girona","isPartOf":{"@id":"https:\/\/urologiagirona.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#primaryimage"},"image":{"@id":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#primaryimage"},"thumbnailUrl":"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg","datePublished":"2021-05-07T09:48:37+00:00","dateModified":"2021-05-07T09:52:09+00:00","breadcrumb":{"@id":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#primaryimage","url":"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg","contentUrl":"https:\/\/urologiagirona.com\/wp-content\/uploads\/2015\/04\/vaso-vasostomia1-300x224.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/urologiagirona.com\/fr\/vaso-vasostomie\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Inici","item":"https:\/\/urologiagirona.com\/"},{"@type":"ListItem","position":2,"name":"Vaso-vasostomie"}]},{"@type":"WebSite","@id":"https:\/\/urologiagirona.com\/#website","url":"https:\/\/urologiagirona.com\/","name":"Urologia Girona \/ Cl\u00ednica Urologia Girona","description":"Som especialistes en cirurgia rob\u00f2tica i m\u00ednimament invasiva per el tractament de patologia prost\u00e0tica ( l\u00e0ser de pr\u00f2stata, Robot Da Vinci, ter\u00e0pia focal), patologia renal (c\u00e0ncer, litiasis, cirurgia rob\u00f2tica i laparosc\u00f2pia) i vesical (tumors de bufeta).","publisher":{"@id":"https:\/\/urologiagirona.com\/#organization"},"alternateName":"Cl\u00ednica Urologia Girona","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/urologiagirona.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/urologiagirona.com\/#organization","name":"Urologia Girona \/ Cl\u00ednica Urologia Girona","url":"https:\/\/urologiagirona.com\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/urologiagirona.com\/#\/schema\/logo\/image\/","url":"https:\/\/urologiagirona.com\/wp-content\/uploads\/2020\/11\/logo_urologia_girona.jpg","contentUrl":"https:\/\/urologiagirona.com\/wp-content\/uploads\/2020\/11\/logo_urologia_girona.jpg","width":600,"height":341,"caption":"Urologia Girona \/ Cl\u00ednica Urologia Girona"},"image":{"@id":"https:\/\/urologiagirona.com\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/pages\/809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/comments?post=809"}],"version-history":[{"count":3,"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/pages\/809\/revisions"}],"predecessor-version":[{"id":817,"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/pages\/809\/revisions\/817"}],"wp:attachment":[{"href":"https:\/\/urologiagirona.com\/fr\/wp-json\/wp\/v2\/media?parent=809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}