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Mini-Incision Vasectomy Reversal Using the No-Scalpel Vasectomy Instruments and Principles

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Male Infertility

Abstract

A wide variety of techniques have been described in the literature for vasectomy reversal, and as with most techniques, they continue to evolve in current surgical practice. We have developed a mini-incision technique at the University of Toronto for vasectomy reversal using the principles and instruments used for the no-scalpel vasectomy. By taking advantage of the compliance of the scrotal wall, a substantial length of vas deferens can safely be delivered through a mini-incision for an efficient approach to vasectomy reversal. By avoiding a longer incision, delivery of the testicle and more extensive tissue dissection, one can significantly reduce postoperative pain and hasten return to daily activities without compromising patient outcomes as evidenced by our experience.

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Author information

Authors and Affiliations

  1. Department of Urology, University Hospital of Northern British Columbia, Prince George, BC, Canada

    Darby J. Cassidy MD

  2. Department of Surgery, Division of Urology, University of Toronto, Mount Sinai Hospital, Toronto, ON, Canada

    Keith Jarvi MD, Ethan D. Grober MD, MEd & Kirk C. Lo MD, CM

Authors
  1. Darby J. Cassidy MD
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  2. Keith Jarvi MD
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  3. Ethan D. Grober MD, MEd
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  4. Kirk C. Lo MD, CM
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Editor information

Editors and Affiliations

  1. University of Florida, Director, Robotic Surgery, Winter Haven Hospital &, 200 Avenue F. N.E., Winter Haven, 33881, Florida, USA

    Sijo J. Parekattil

  2. Center for Reproductive Medicine, Department of Urology, Cleveland Clinic, Euclid Avenue 9500, Cleveland, 44195, Ohio, USA

    Ashok Agarwal

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© 2012 Springer Science+Business Media, LLC

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Cassidy, D.J., Jarvi, K., Grober, E.D., Lo, K.C. (2012). Mini-Incision Vasectomy Reversal Using the No-Scalpel Vasectomy Instruments and Principles. In: Parekattil, S., Agarwal, A. (eds) Male Infertility. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3335-4_10

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  • DOI: https://doi.org/10.1007/978-1-4614-3335-4_10

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3334-7

  • Online ISBN: 978-1-4614-3335-4

  • eBook Packages: MedicineMedicine (R0)

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