Related Experiment Video
Updated: Oct 27, 2025
A Modified Vessel-Sparing Microsurgical Vasoepididymostomy
Published on: June 8, 2022
Crossed vasoepididymostomy: A step-by-step guide
Rohit Reddy1, Thiago Fernandes Negris Lima1,2, Jessy Ory1
1Department of Urology, University of Miami Miller School of Medicine, Miami, FL, United States.
Objective:
To document a step-by-step guide of crossed transeptal vasoepididymostomy with prioritization of crossover vas deferens measurement.
Design:
Video presentation.
Setting:
University of Miami Lennar Surgical Center.
Patients:
The patient undergoing this procedure signed a written, informed consent for video and audio recording.
Results:
No intraoperative complications were seen during the surgery, and the patient was discharged 6 h after the procedure. Through the steps detailed in the video and manuscript, a proper tubule into vas deferens invagination was formed.
Conclusions:
Anatomical indications for crossed vasoepididymostomy exists in 6% of azoospermic males and procedural prevalence is increasing. With a standardized step-by-step procedural approach that prioritizes crossover vas deferens measurement, crossed vasoepididymostomy can be considered in couples desiring natural conception, with previous complications of ART or failed ART.
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