Tubal Microsurgery
Fig. 12.1 Pregnancy, live birth, and singleton live birth rates based on IVF cycles initiated in 2008 (2404 Centers for Disease Control 2008) IVF would be the preferred treatment if…
Vasovasostomy Techniques for Microsurgery Specialists
Sperm grade Grade description Return of sperm to ejaculate (%) Pregnancy rate (%) Grade 1 Mainly normal motile sperm 94 63 Grade 2 Mainly normal nonmotile sperm 91 54 Grade…
Testis-Sparing Surgery for Testicular Masses
Fig. 9.1 An ultrasound of a small testicular mass ideally considered for organ sparing being located at the lower pole and palpable: (a) microcalcifications throughout the testis (b) small hypi-echoic…
Noninfertility Scrotal Microsurgery
Fig. 8.1 Microsurgical spermatocelectomy Chronic orchalgia is thought to result from persistently upregulated central- and peripheral-nervous system pain pathways. MDSC was first described by Devine and Schellhammer [20], and has…
The Role of Microsurgical Reconstruction in the Era of ICSI
4. Kolettis PN, Thomas Jr AJ. Vasoepididymostomy for vasectomy reversal: a critical assessment in the era of intracytoplasmic sperm injection. J Urol. 1997;158(2):467–70.PubMedCrossRef 5. Lee R, Li PS, Goldstein M,…
Microsurgery Training: What Should a Resident Know? Should All Microsurgeons be Fellowship Trained?
4. Chawla A, O’Brien J, Lisi M, Zini A, Jarvi K. Should all urologists performing vasectomy reversals be able to perform vasoepididymostomies if required? J Urol. 2004;172:1048–50.PubMedCrossRef 5. Belker AM,…
Sperm Retrieval Techniques in Obstructive Azoospermia: MESA, PESA, and TESA
Fig. 6.1 Micropipette aspirating thin, milky fluid containing numerous motile sperm Percutaneous Epididymal Sperm Aspiration This procedure was first described by Craft and Shrivastav, and called for percutaneous aspiration of…
Microsurgical Testicular Sperm Extraction: Technical Considerations
Fig. 7.1 Schematic illustration of testicular microdissection technique, demonstrating initial incision with wide exposure of seminiferous tubules, digital pressure exerted on the tunica albuginea to evert tissue, allowing the ability…
Vaginoplasty in Male Transsexuals Using Penile Skin and Urethral Flap
(1) School of Medicine, University of Belgrade, Belgrade, Yugoslavia Deceased 12.1 Introduction Vaginoplasty presents the main problem in male-to-female surgery. There are many operative techniques [1–3] that can be…
Surgical Therapy: Metoidioplasty Technique and Results
Fig. 29.1 Clitoral length in a stretched position should be at least 2 cm 29.2.2 Operative Technique The procedure starts with removal of the internal genitalia, usually via a vaginal…
