Crossed vasoepididymostomy: A step-by-step guide

• Main Authors: Rohit Reddy, Thiago Fernandes Negris Lima, Jesse Ory, Ranjith Ramasamy
• Format: Article
• Language: English
• Published: Elsevier 2021-09-01
• Series: Urology Video Journal
• Subjects: Male; Infertility; Microsurgery; Anatomy
• Online Access: http://www.sciencedirect.com/science/article/pii/S2590089721000128

Objective: To document a step-by-step guide of crossed transeptal vasoepididymostomy with prioritization of crossover vas deferens measurement. Design: Video presentation. Setting: University of Miami Lennar Surgical Center. Patient(s): The patient undergoing this procedure signed a written, informed consent for video and audio recording. Results: No intraoperative complications were seen during the surgery, and the patient was discharged 6 h after the procedure. Through the steps detailed in the video and manuscript, a proper tubule into vas deferens invagination was formed. Conclusions: Anatomical indications for crossed vasoepididymostomy exists in 6% of azoospermic males and procedural prevalence is increasing. With a standardized step-by-step procedural approach that prioritizes crossover vas deferens measurement, crossed vasoepididymostomy can be considered in couples desiring natural conception, with previous complications of ART or failed ART.