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Related Experiment Video

Updated: Oct 27, 2025

A Modified Vessel-Sparing Microsurgical Vasoepididymostomy

A Modified Vessel-Sparing Microsurgical Vasoepididymostomy

Published on: June 8, 2022

Crossed vasoepididymostomy: A step-by-step guide.

Rohit Reddy¹, Thiago Fernandes Negris Lima^1,2, Jessy Ory¹

¹Department of Urology, University of Miami Miller School of Medicine, Miami, FL, United States.

Urology Video Journal

|July 23, 2021

Summary

This summary is machine-generated.

This guide details crossed transeptal vasoepididymostomy, a microsurgical procedure for male infertility. Prioritizing vas deferens measurement ensures successful tubule invagination, offering an alternative to assisted reproductive technologies.

Keywords:

Anatomy Infertility Male Microsurgery

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Area of Science:

Urology
Microsurgery
Reproductive Medicine

Background:

Crossed transeptal vasoepididymostomy is indicated in 6% of azoospermic males.
The prevalence of this microsurgical procedure is increasing.
It offers an alternative for couples with failed or complicated assisted reproductive technologies (ART).

Purpose of the Study:

To provide a standardized, step-by-step guide for performing crossed transeptal vasoepididymostomy.
To emphasize the critical step of crossover vas deferens measurement.
To document the procedure through video and manuscript.

Main Methods:

A video presentation of the surgical technique.
Performed at the University of Miami Lennar Surgical Center.
Informed consent obtained from the patient for recording.

Main Results:

No intraoperative complications were observed.
The patient was discharged 6 hours post-procedure.
Successful tubule into vas deferens invagination was achieved.

Conclusions:

Crossed vasoepididymostomy is a viable option for natural conception in select azoospermic males.
A standardized approach prioritizing vas deferens measurement enhances procedural success.
This technique can benefit couples seeking alternatives to ART.