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Updated: Aug 11, 2026

A Modified Vessel-Sparing Microsurgical Vasoepididymostomy
Published on: June 8, 2022
[Vasovasostomy: our experience]
José Antonio Portillo Martín1, Miguel Angel Correas Gómez, Miguel Angel Rado Velázquez
1Servicio de Urología y Servicio de Medicina Preventiva, Hospital Universitario Valdecilla, Santander, Cantabria, España. jose.portillo@teleline.es
Objectives:
From August 1997 to December 2004 we performed 47 vasovasostomies for vasectomy reversal in the same number of patients. Only 42 patients are available for follow-up, with a mean follow-up of at least six months. Mean age is 40.7 years for the patients and 30.8 for the couples.
Methods:
The two-layer technique was applied under microscope magnification in the first 22 patients; single layer technique was performed in the others.
Results:
Overall spermatozoid potency rate was 71.42%, and pregnancy rate was 32.45%. Surgical technique did not have influence on results.
Conclusions:
Better prognosis is expected in young men; the longer the interval between vasectomy and reversal, the lower the potency rate. Regarding pregnancy rate, it is not influenced by delay of reversal.
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