PROFESSOR SUKS MINHAS | MR TET YAP | 0207 034 5032
VASOEPIDIDYMOSTOMY
A vasoepididymostomy is often used to reverse a vasectomy or men who have a blockage to the testicle. The procedure involves reattaching the vas deferens and the epididymis. A vasoepididymostomy is more complex than a typical vasectomy reversal and used in some instances. The vasoepididymostomy procedure can also be used to eliminate a blockage in the tubules or abdomen. The operation is completed with the use of a microscope and fine stitches are used to seal the reattached vas deferens and epididymis.
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A Vasoepididymostomy is a much more technical and challenging procedure. It should only be performed by specialty trained reproductive urologists with microsurgical expertise.
This is a microsurgical procedure where the abdominal (upper) end of the vas deferens has to be connected to a tubule of the epididymis, rather than connecting one end of the vas deferens to the other end of the vas deferens, as would be done with a vasovasostomy.
PREPARATION FOR VASOEPIDIDYMOSTOMY
Patients will undergo an examination prior to the procedure. Doctors will exam their patients’ medical history and determine if they are the right candidates for the operation. Patients must be able to produce sperm for the procedure to be undertaken. A testis biopsy will also be used to confirm sperm production and can also be used to extract sperm from the testicle.
VASOEPIDIDYMOSTOMY PROCEDURE
During the procedure, the epididymis is examined for obstruction and a vasogram is completed. A vasoepididymostomy can take between three and five hours to complete. The procedure is performed under general anaesthetic.
RECOVERY FROM VASOEPIDIDYMOSTOMY
Patients who undergo a vasoepididymostomy may return to desk work as early as three days following their surgery. Men who work in strenuous physical jobs or perform regular physical activity such as jogging or working out should wait one month before resuming their activities. Patients should attend follow-up doctor appoints post-surgery. Doctors will inspect the incisions and healing of the process. In addition, semen specimen will be analysed. Doctors will analyse the semen for the presence of sperm. Often, sperm is present in the first sample at 6 weeks following a successful vasoepididymostomy. It may take up to 18 months before sperm fully appears in the semen.
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