Insight Into Office Based Vasovasostomy (Vasectomy Reversal)

A. M. Pinkhasov, A. Bernstein, N. Wei, S. Helo

Abdominal Surgery, Ectopic Reservoir, Erectile Dysfunction, Penis Prosthesis, Pubic Rami

Introduction:

Traditional vasectomy reversals are performed in the operating room under general anesthesia, which poses logistical, financial, and clinical drawbacks. A shift toward office-based vasectomy reversal under local anesthesia may address these limitations.

Objectives:

To demonstrate the feasibility and technical approach of performing microsurgical vasovasostomy in an office-based setting using local anesthesia, without compromising patient comfort or surgical technique.

Methods: In this video we outline a step-by-step microsurgical vasovasostomy in an office-based setting.

Results:

Office-based vasovasostomy is technically feasible in the office-based setting.

Conclusion:

Office-based microsurgical vasovasostomy is safe, feasible, and well tolerated in the office-based setting, offering multiple patient- and provider-centered advantages.

None.

The authors have nothing to disclose