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Martin D. Bastuba, M.D., F.A.C.S.
Medical Director
Microscopic Vasectomy Reversal Procedure
Microscopic Vasectomy Reversal Procedure in Pictures
Ever
wondered how a vasectomy reversal looks like under the microscope? Follow
Dr. Bastuba into the operating room and look over his shoulder to watch one
of his recent cases of microsurgical vasectomy reversal, a vasovasostomy. (Follow this link to see the more complicated vasoepididymostomy)
CAUTION:
The pictures contain very explicit photographic content!!!
Vasovasostomy
Surgery
After our board-certified anesthesiologist put the
patient under general anesthesia, the patient's testicles are marked for
the vasectomy reversal incisions. The incisions are no more than 1-2 inches
wide.
The
two separated ends of the vas deferens are located under the microscope.
The
two ends are isolated from the scar tissue, which had developed after the
vasectomy.
The
vas deferens close to the testicle is examined for seminal fluid.
The
color (white dot) and consistency of the seminal fluid are good indicators
that sperm is present in the vas fluid.
Dr.
Bastuba prepares a sample of the vas fluid to be inspected under a laboratory
microscope.
If sperm is found in the vas fluid, no blockage in the
vas deferens hinders sperm flow.
Sperm
is found in the vas fluid under the microscope. A vasoepididymostomy won't
be necessary and Dr. Bastuba continues with the vasovasostomy procedure.
The
vas deferens are prepared for the micro sutures.
Marks
on the end of the vas deferens will guide Dr. Bastuba to precisely place
the sutures using the Microdot technique. (Read
about the Microdot technique)
The
reconnection of the vas deferens half way through. The back side of the vas
deferens tubule have been tied together with a micro needle smaller than
a human hair.
After the two inner layers of the vas deferens have been
connected, the muscle layer of the vas deferens has also been reconnected
for stability and expedite the healing process.
After
successful completion to reconnect the two ends of the vas deferens, the
incision is prepared for closure.
After placing
the stitches, the vasectomy reversal is successfully completed.
Another
successful
vasectomy reversal procedure!
See Dr. Bastuba perform a vasoepididymostomy or read more about the microsurgical vasectomy reversal procedure.
Last Updated:
March 1, 2010
Reviewed by Dr. Martin Bastuba and his medical staff
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