Vasectomy Research Today is a free monthly online journal that collates and summarizes the latest research about Vasectomy, including details on procedure, risks, statistics, contraception, reversal.

Robotic Assisted Versus Pure Microsurgical Vasectomy Reversal: Technique and Prospective Database Control Trial.

Parekattil SJ, Gudeloglu A, Brahmbhatt J, Wharton J, Priola KB

Division of Robotics and Urology, Department of Urology, Winter Haven Hospital, University of Florida, Winter Haven, Florida.

Microsurgical vasectomy reversal is a technically demanding procedure. Previous studies have shown the possible benefit of robotic assistance during such procedures. Our goal was to compare robotic assisted vasovasostomy and vasoepididymostomy to standard microsurgical vasovasostomy (MVV) and vasoepididymostomy (MVE). The use of robotic assistance for vasectomy reversal may provide the microsurgeon with improved visualization, elimination of tremor, and decreased fatigue and obviate the need for a skilled microsurgical assistant. This study provides the first clinical prospective control trial of robotic assisted versus pure microsurgical vasectomy reversal. The use of robotic assistance in microsurgical vasovasostomy and vasoepididymostomy may have benefit over MVV and MVE with regards to decreasing operative duration and improving the rate of recovery of postoperative total motile sperm counts based on our study.

Published 29 June 2012 in J Reconstr Microsurg.
Full-text of this article is available online (may require subscription).

Articles on Vasectomy published 31 May 2012:

Evaluating patient values and preferences for thromboprophylaxis decision making during pregnancy: A study protocol.   BMC Pregnancy Childbirth, 12(1): 40.

ABSTRACT: BACKGROUND: Pregnant women with prior venous thromboembolism (VTE) are at risk of recurrence. Low molecular weight heparin (LWMH) reduces the risk of pregnancy-related VTE. LMWH prophylaxis is, however, inconvenient, uncomfortable, costly, medicalizes pregnancy, and may be associated with increased risks of obstetrical bleeding. Further, there is uncertainty in the estimates of both the baseline risk of pregnancy-related recurrent VTE and the effects of antepartum LMWH prophylaxis. ... [Abstract] [Full-text]

Articles on Vasectomy published 24 May 2012:

Efficacy of vasectomy reversal according to patency for the surgical treatment of postvasectomy pain syndrome.   Int J Impot Res.

This study was conducted to assess outcomes (according to patency) of vasectomy reversal (VR) in qualified patients with postvasectomy pain syndrome (PVPS). A total of 32 patients with PVPS undergoing VR between January 2000 and May 2010 were examined retrospectively. Of these, 68.8% (22/32) completed a study questionnaire, either onsite at the outpatient clinic or via telephone interview. Preoperative clinical findings, preoperative and postoperative visual analogue scale (VAS) pain scores, ... [Abstract] [Full-text]

Aortic Valve Endocarditis from Staphylococcus lugdunensis.   J Card Surg, 27(3): 299-300.

Abstract  This is a case of aortic valve endocarditis and leaflet perforation caused by Staphylococcus lugdunensis successfully treated with aortic valve replacement and antibiotics. We believe that the patient's endocarditis may be related to the vasectomy he underwent two months prior to presentation, as S. lugdunensis is an integral component of normal skin flora of the lower abdomen and groin. We also suggest that whenever this organism is found in patients with endocarditis, early ... [Abstract] [Full-text]

Articles on Vasectomy published 7 May 2012:

Application of optical coherence tomography and high-frequency ultrasound imaging during noninvasive laser vasectomy.   J Biomed Opt, 17(4): 046006.

A noninvasive approach to vasectomy may eliminate male fear of complications related to surgery and increase its acceptance. Noninvasive laser thermal occlusion of the canine vas deferens has recently been reported. Optical coherence tomography (OCT) and high-frequency ultrasound (HFUS) are compared for monitoring laser thermal coagulation of the vas in an acute canine model. Bilateral noninvasive laser coagulation of the vas was performed in six dogs (n=12 vasa) using a Ytterbium fiber laser ... [Abstract] [Full-text]

Male hormonal contraception: where do we stand?   Eur J Contracept Reprod Health Care, 17(3): 179-86.

BACKGROUND: The hormonal control of spermatogenesis was unravelled decennia before the recent advances in genetics and molecular biology. This explains why hormonally active agents, with the potential of suppressing pituitary gonadotropins, have been used in attempts to develop clinically applicable contraceptives for men. MALE HORMONAL CONTRACEPTION: Earlier studies indicated that high-normal or supraphysiological levels of androgens are needed to achieve an acceptable suppression of ... [Abstract] [Full-text]

Trend, client profile and surgical features of vasectomy in Ghana.   Eur J Contracept Reprod Health Care, 17(3): 229-36.

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Contraceptive sterilization among married adults: national data on who chooses vasectomy and tubal sterilization.   Contraception, 85(6): 552-7.

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Articles on Vasectomy published 4 May 2012:

The assessment of post-vasectomy pain in mice using behaviour and the Mouse Grimace Scale.   PLoS One, 7(4): e35656.

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