Microsurgical Vaso‐epididymostomy in 2 Layers

Summary— Eleven patients with epididymal obstruction were treated with microsurgical techniques. A 2‐layer, end‐to‐side anastomosis between the vas deferens and a single loop of the epididymal duct was created. At follow‐up, 9 patients had spermatozoa in their ejaculate and 3 of them achieved pregnancies with their partners. The technique described not only yields better results through the application of microsurgery but also gives a better understanding of epididymal function and pre‐and pet‐operative diagnosic proceedings. © 1990 British Journal of Urology