Microsurgical Vasovasostomy: an Outpatient Procedure Under Local Anesthesia

Abstract

Microsurgical vasovasostomy was performed on 25 outpatients using spermatic cord block anesthesia, an infrapubic incision and the 1 1/2-layer anastomosis technique. The average operating time was 2 h 18 min and patients usually were discharged home after .apprx. 1 h in the recovery room. Of the 21 patients who have had sperm counts performed 3 or more mo. postoperatively 19 have counts .gtoreq. 20 million/ml, with an average motility of 43%. The operation as described is safe and economical with minimal morbidity and has results comparable to those obtained with more complex and extensive vasovasostomy techniques.