Epididymovasostomy
Related Experiment Video
Updated: Oct 2, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia
Published on: May 27, 2022
1Department of Urology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157-1094, USA.
Abstract:
There are a variety of causes of epididymal obstruction, but the most frequent indication for epididymovasostomy today is obstruction following vasectomy. We have seen significant advances over the last few decades in our techniques for reconstructing the proximal excurrent ductal system in order to restore sperm to the ejaculate and fertility in men with azoospermia secondary to epididymal obstruction. The patency rates for epididymovasostomy have improved significantly with the use of microsurgical techniques and specific tubule anastomosis. The level of anastomosis plays a crucial role in eventual fertility. These microsurgical techniques are tedious and difficult to master but practice and meticulous attention to detail are rewarded by excellent results.
Related Concept Videos
Accessory Ducts of the Male Reproductive System
The epididymis is a small, comma-shaped organ located at the back of each testicle.
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Urologic Endoscopic Procedure: Cystoscopic Examination

