Abstract
Microsurgical vasectomy reversal is a technically demanding procedure. Previous studies
have shown the possible benefit of robotic assistance during such procedures. Our
goal was to compare robotic assisted vasovasostomy and vasoepididymostomy to standard
microsurgical vasovasostomy (MVV) and vasoepididymostomy (MVE). The use of robotic
assistance for vasectomy reversal may provide the microsurgeon with improved visualization,
elimination of tremor, and decreased fatigue and obviate the need for a skilled microsurgical
assistant. This study provides the first clinical prospective control trial of robotic
assisted versus pure microsurgical vasectomy reversal. The use of robotic assistance
in microsurgical vasovasostomy and vasoepididymostomy may have benefit over MVV and
MVE with regards to decreasing operative duration and improving the rate of recovery
of postoperative total motile sperm counts based on our study.
Keywords
vasovasostomy - vasoepididymostomy - robotic - vasectomy - reversal
