Infrapubic incision for specific vasectomy reversal situations

Routine vasectomy reversals are performed easily through scrotal incisions. However, the infrapubic incision offers easiest access to both ends of the vas deferens when the vasectomy has been performed at an unusually high level. Similarly, when unusually long segments of the vas have been removed during the vasectomy, the infrapubic incision enables the surgeon to mobilize a sufficient length of the abdominal end of the vas so that even vasoepididymostomy may be performed without tension on the anastomosis. Technical details of the infrapubic incision, which may be used with local anesthesia, are described.