Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Mar 12, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
06:28

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia

Published on: May 27, 2022

4.5K

Robot-assisted vasovasostomy using a single layer anastomosis.

Michael T Marshall1, Alexander D Doudt2, Jonathan H Berger2

  • 1Department of Urology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, USA. michael.t.marshall@gmail.com.

Journal of Robotic Surgery
|November 9, 2016
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Association of Fertility Preservation Benefit Mandates with Sperm Bank Network Adequacy: A Mixed Methods Study.

Urology practice·2026
Same author

The Price Is Right: Assessing Surgical Cost Awareness of Residents and Staff Across Surgical Specialties at a Single Training Hospital.

Military medicine·2025
Same author

Rizedisben in Minimally Invasive Surgery: A Nonrandomized Clinical Trial.

JAMA surgery·2025
Same author

Reply to Editorial Comment on "Evaluating Decision Regret in Patients Who Have Undergone Sacral Neuromodulation".

Urology·2025
Same author

Evaluating Decision Regret in Patients Who Have Undergone Sacral Neuromodulation.

Urology·2024
Same author

It Is Time to Consider the Ethical Implications of Artificial Intelligence Use in Generating Manuscripts for Peer-Reviewed Journals.

Journal of endourology·2024

Robot-assisted vasovasostomy offers a viable alternative for vasectomy reversal, achieving an 88% success rate in returning sperm. This robotic approach provides comparable outcomes to traditional microscopic procedures, making it accessible to more urologists.

Area of Science:

  • Urology
  • Robotic Surgery
  • Reproductive Medicine

Background:

  • Vasectomy reversal is pursued by over 6% of men in the US.
  • Microscopic vasovasostomy is the current standard but requires specialized microsurgical skills.
  • Many urologists lack the extensive training for traditional microscopic reversals.

Purpose of the Study:

  • To assess the feasibility and success rate of robot-assisted vasovasostomy.
  • To evaluate an alternative vasectomy reversal technique for broader urologist adoption.

Main Methods:

  • Retrospective review of robotic vasectomy reversals using the da Vinci Surgical System.
  • Single-layer vasal anastomosis technique employed.
  • Success defined as return of sperm via semen analysis or light microscopy.
Keywords:
Robot-assisted vasovasostomyRobotic surgerySingle-layer anastomosis robot-assisted vasovasostomySingle-layer vasovasostomyVasectomy reversalVasovasostomy

More Related Videos

Optimizing the Modified No-Scalpel Vasectomy Technique
04:47

Optimizing the Modified No-Scalpel Vasectomy Technique

Published on: October 18, 2024

967
A Modified Vessel-Sparing Microsurgical Vasoepididymostomy
04:59

A Modified Vessel-Sparing Microsurgical Vasoepididymostomy

Published on: June 8, 2022

2.6K

Related Experiment Videos

Last Updated: Mar 12, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
06:28

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia

Published on: May 27, 2022

4.5K
Optimizing the Modified No-Scalpel Vasectomy Technique
04:47

Optimizing the Modified No-Scalpel Vasectomy Technique

Published on: October 18, 2024

967
A Modified Vessel-Sparing Microsurgical Vasoepididymostomy
04:59

A Modified Vessel-Sparing Microsurgical Vasoepididymostomy

Published on: June 8, 2022

2.6K

Main Results:

  • 79 robotic vasectomies performed since 2009; 60 with single-layer anastomosis.
  • Average obstructive interval: 5.7 years; Average operative time: 192 minutes.
  • 88% success rate (37/42 patients) with return of sperm at 4.3 months; average sperm density 31.0 million/mL, motility 29.1%.

Conclusions:

  • Robot-assisted vasovasostomy with single-layer anastomosis demonstrates success rates comparable to microscopic procedures.
  • This technique offers a feasible alternative for urologists trained in robotic surgery.
  • Further research into cost-effectiveness is recommended, but feasibility is established.