Advances in Male Reproductive Surgery: Robotic-Assisted Vasovasostomy

Abstract

It is estimated that 3–6% of all vasectomised men request vasectomy reversal for different reasons. Microsurgical vasovasostomy is the gold standard technique of vasectomy reversal. However, the microsurgical technique is time-consuming and challenging to most urological surgeons. Therefore, alternative methods of vasal anastomosis have been studied including robotic-assisted vasovasostomy. This review discusses the feasibility and practice of robotic-assisted vasovasostomy. Based on the available studies robotic-assisted vasovasostomy is feasible. The reported rate of vasal patency associated with this new technique is similar to that of microsurgical vasovasostomy. There is no clear difference between the 2 approaches in terms of operating time. Robotic-assisted vasovasostomy does not appear to afford significant advantages in the era of vasectomy reversal.

An Analysis of Factors Influencing Participation of Men Fertilizer Age Couples to Acceptors of Mop (Male Operating Methods) Contraception

“…The result showed a significant association of knowledge of males with their selected variables. The calculated p value of males and females with selected variables of knowledge and attitude was nonsignificant which showed that there was no association between the level of knowledge and attitude of males and females towards tubectomy and vasectomy [8]. Conclusion: It was concluded that Knowledge of the males and females regarding tubectomy and vasectomy was in average and Attitude was moderately favourable [20].…”

“…The cause of the low participation of men in the MOP method of family planning is that there are still many people who do not know about the existence of contraception for men other than condoms, making men ultimately unable to participate directly in the use of contraception, but also because of negative attitudes and thoughts about male contraception, thinking that family planning is a duty [6] [7]. women are not the responsibility of men even though the regulation of pregnancy and family welfare is a shared responsibility, not to mention the bad stigma that grows in society about vasectomy which makes people think that vasectomy is the same as castration, vasectomy interferes with ejaculation and erection as well as sexual relations, wife support also many wives are worried that if their husbands use vasectomy contraception, their husbands can have sexual relations with other people without fear of getting pregnant [3] [8].…”

Vasovasostomy and vasoepididymostomy: Review of the procedures, outcomes, and predictors of patency and pregnancy over the last decade

“…Therefore, it was considered that a surgeon who is trained in both RAVV and MVV is best suited for vasal anastomosis in order to shorten the operative time and improve the patency rate. Additionally, the learning curve for robotic surgery seems to be shorter than for microsurgery and previous experience in microsurgery does not affect the curve . This advantage is a boon to urologists who lack opportunities for microsurgery.…”

“…Additionally, the learning curve for robotic surgery seems to be shorter than for microsurgery and previous experience in microsurgery does not affect the curve. 63,64 This advantage is a boon to urologists who lack opportunities for microsurgery.…”

Vasectomy in Male Contraception and its Reversal

“…However, the reported rates of vasal patency and pregnancy with this new and very expensive surgical technique are similar to that of microsurgical vasovasostomy. Given these results and the expense of robot-assisted surgery, the traditional microsurgical approach to vasal reconstruction is preferred [46,49].…”