PURPOSE: Recently a new technique for vasoepididymostomy was described which included @entity4434 by the triangulation method with a patency rate of 92%. Although these early data were encouraging, some technical problems were noted with the technique. After placing the first suture there was often tubular leakage and collapse. The tubulotomy was difficult and in some cases a suture was inadvertently cut. A modified technique is presented for vasoepididymostomy with @entity4434 , including some methods described in @entity35 models. Only 2 sutures are used with simultaneous double needle placement. MATERIALS AND METHODS: The 2-suture technique was used on 19 @entity1 who had undergone at least 1 vasoepididymostomy during vasectomy reversal procedures. RESULTS: Patency was demonstrated in 7 of 9 @entity1 (77.7%) who underwent modified bilateral vasoepididymostomy and 6 of 7 (85.7%) who underwent unilateral vasoepididymostomy and unilateral vasovasostomy. Pregnancies were reported in both groups. The overall operating time for the modified technique was about 35 to 45 minutes per side. CONCLUSIONS: Modified vasoepididymostomy with simultaneous needle placement, tubulotomy and invagination resulted in early patency in a high percentage of @entity1 . Tubular invagination may have advantages compared to other conventional methods of vasoepididymostomy but more followup is needed.

Modified vasoepididymostomy with simultaneous double needle placement, tubulotomy and XXXX .

@entity35 :: ('10116', 'Species') :: ['rat'] @entity1 :: ('9606', 'Species') :: ['patients', 'men'] @entity4434 :: ('MESH:D005198', 'Disease') :: ['tubular invagination']
@entity4434 :: (MESH:D005198,Disease) :: ['tubular invagination']
