V1591 ROBOTIC MICROSURGICAL VASECTOMY REVERSAL: INITIAL EXPERIENCE AND SURGICAL OUTCOMES FROM A SINGLE ACADEMIC CENTER

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You have accessJournal of UrologyInfertility, Sexual Dysfunction and Testis1 Apr 2013V1591 ROBOTIC MICROSURGICAL VASECTOMY REVERSAL: INITIAL EXPERIENCE AND SURGICAL OUTCOMES FROM A SINGLE ACADEMIC CENTER Clay Mechlin and Andrew McCullough Clay MechlinClay Mechlin Albany, NY and Andrew McCulloughAndrew McCullough Albany, NY View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3141AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The Robotic platform has emerged as a feasible alternative to the traditional microsurgical vasectomy reversal (MSVR) with the operating microscope. Potential advantages of the robotic platform are stereotactic vision, increased surgeon autonomy (assisting with the 4th arm), lack of tremor, and improved ergonomics. We report our initial experience and outcomes for robotic microsurgical vasectomy reversal (RMVR) at a large academic center. METHODS We retrospectively reviewed surgical outcomes for a single surgeon at an academic center from 2011 to 2012. All patients that underwent surgery were included in the study. Residents and fellows were involved in all procedures. All patients underwent vasectomy reversal with the DaVinci robotic platform with the dual console. Demographic information, operative times, and outcomes were recorded. Statistical analysis was performed with a one-way ANOVA test. RESULTS Results are shown in Table 1. 6 out of 11 patients had their follow up sperm check and all had motile sperm at an average of 7 weeks. Figure 1 shows the breakdown of procedures performed. Figure 2 shows the number of years from vasectomy for all subjects. CONCLUSIONS RMSVR is safe and effective with good initial success rates at short term follow up. In addition it provided stereotactic vision, improved ergonomics, and a unique more controlled microsurgical training environment for residents and fellows. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e653-e654 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Clay Mechlin Albany, NY More articles by this author Andrew McCullough Albany, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...