Urologic microsurgery--current perspectives: I. Vasovasostomy

Microsurgical procedures are receiving increased attention in urology, and claims of improved results of vasovasostomy performed with operating microscope have been made. This review examines the available results, sometimes conflicting, of both macro- and microsurgical methods of vasovasostomy. The weight of the data leads to the conclusion that improved results of vasovasostomy will occur with the use of the operating microscope regardless of the type of anastomosis performed because increased appreciation of the detail of the small vasal lumen is afforded by optical magnification.