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Home>Surgery by professor Boiko>Operations>Restoration of the patency of the vas deferens (epididymal vasoanastamosis, vasovasostomy)

Restoration of the patency of the vas deferens (epididymal vasoanastamosis, vasovasostomy)

Microsurgical treatment of male infertility is one of the most complex and serious. Microsurgical intervention is prescribed for patients who have impaired patency of the vas deferens (due to surgical contraception, which is incorrectly called “sterilization”, diseases such as prostate cyst, epididymo-orchitis). Only a surgeon with the appropriate qualifications can perform a competent operation to restore patency in case of a disease or after sterilization. Sometimes an operation to restore fertility is not possible for the following reasons: the patient’s old age, the infertility of the spouse, or previously incorrectly performed voluntary surgical contraception, the long period that has elapsed after the onset of obturation, the presence of antisperm antibodies.

The effectiveness of microsurgical operation to restore patency (i.e., the presence of spermatozoa in the ejaculate) is, on average, about 60-70%. However, only the onset of pregnancy can be considered an indicator of the effectiveness of the operation to restore fertility.

We have sufficient experience in microsurgical correction. The operation is performed under general anesthesia. To perform the operation, a “Carl Zeiss” microscope with a high degree of optical resolution is used.