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Luminal suture thread as a guide for anastomosis: a new vasovasostomy technique.

Kilciler M, Tahmaz L, Bedir S, Demir E, Erten K, Peker AF

Department of Urology, Gulhane Military Medical Academy, Ankara, Turkey. mkilciler@yahoo.com <mkilciler@yahoo.com>

OBJECTIVE: To use a new vasovasostomy technique for reversal of vasectomy. DESIGN: Case report. SETTING: Clinical and academic research environment. PATIENT: A patient who had undergone vasectomy. INTERVENTION: We used 4/0 prolene as a guide during anastomosis for reversal of vasectomy. MAIN OUTCOME MEASURE: Semen analysis. RESULT(S): Three months after the operation, the spermiogram showed the sperm count, the percentage of normal morphologic sperm, progressive motility, and vitality as 9 million/L, 70%, 33%, and 60%, respectively. Six months later, the spermiogram was repeated and the following results were obtained: the sperm count, the percentage of normal morphologic sperm, progressive motility, and vitality as 14 million/L, 65%, 40%, and 65%, respectively. CONCLUSION(S): This new technique is cost-effective, easy, cheap, and less time-consuming, and has a high success rate.

Published 13 April 2007 in Fertil Steril, 87(4): 976.e1-3.
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