+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Vasoplasty: flap operation



Vasoplasty: flap operation



British Journal of Urology 55(2): 233-234



The results of 40 cases of vasoplasty, using the flap technique and performed during the past 2-1/2 years are presented. The patients, who ranged in age from 21-40 years, underwent vasovasostomy following the death of children. The interval between vasectomy and vasovasostomy varied from 6 months-10 years. In all cases the vasectomy scar tissue was excised to reveal healthy ends of the vas. The patency of the testicular side of the vas segment was verified by the appearance of seminal fluid. The upper vas segment was dilated with jewellers' forceps and its patency tested by injecting normal saline with the help of a lacrimal cannula. The anastomosis was performed using the Fitzpatrick (1978) flap operation under 2.5 magnification. On average, 6-8 sutures of 8/0 silk were required to complete the anastomosis. 21 patients had bilateral and 19 unilateral anastomoses (11 on the left and 8 on the right side). All patients were given broad spectrum antibiotics and hospitalized for 5-6 days. Semen analysis within the 1st 3 months of follow-up showed return of sperms in 79% of patients, 85% when bilateral, and 72% with unilateral anastomoses. Further follow-up revealed a pregnancy rate of 34%. The major advantages of the flap technique are that stenosis is unlikely at the site of anastomosis, and it can be performed in the stricture prone convoluted segment of the vas. It is cost effective and the technique can be mastered with little experience. In sum, this technique provides a reasonable alternative to the microsurgical method for untrained physicians.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 044950495

Download citation: RISBibTeXText

PMID: 6839101

DOI: 10.1111/j.1464-410x.1983.tb06564.x


Related references

Vasoplasty: a new technique. British Journal of Urology 48(4): 275-277, 1976

Muco gingival surgery a study on flap retention screw used in apically repositioned flap operation part 2. Shikwa Gakuho 74(1): 198, 1974

Simultaneous operation of Cabrol's operation and sternal turnover with rectus abdominal flap. Kyobu Geka. Japanese Journal of Thoracic Surgery 46(3): 271-274, 1993

An improved one-stage microsurgical operation for severe hypospadias by use of transverse preputial island flap and inverted U-shaped interscrotal flap. Microsurgery 16(4): 221, 1995

The pericranium flap operation. A new operation for the treatment of progressive infantile hydrocephalus. A preliminary report of 20 cases. Acta Neurochirurgica 41(4): 335-347, 1978

Hypopharynx reconstruction of defects after operation on advanced pyriform sinus cancer with remaining laryngeal mucosa flap and pectoralis major myocutaneous flap. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 18(4): 295-297, 2004

Pharyngeal flap operation after the cleft palate operation. Iryo 27(7): 588-589, 1973

Response of upper limb blood flow to handgrip exercise after Blalock-Taussig operation (for tetralogy of Fallot) or subclavian flap operation (for aortic isthmic coarctation). American Journal of Cardiology 63(18): 1379-1384, 1989

Detrimental effect of nicotine on skin flap viability and blood flow in random skin flap operation on rats and pigs. Surgical Forum (chicago): 1-613, 1985

Application of pedicle reducing tension flap in the distally-based pedicle flap operation. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 26(1): 58-60, 2012

The flap operation. Journal of Periodontology 37(2): 95-99, 1966

Treatment of degloving injury involving multiple fingers with combined abdominal superficial fascial flap, dorsalis pedis flap, dorsal toe flap, and toe-web flap. Therapeutics and Clinical Risk Management 11: 1081-1087, 2015

Conjunctival flap operation. Journal of the American Veterinary Medical Association 116(880): 44-45, 1950

Cross-leg flap operation. British Journal of Plastic Surgery 6(4): 310-314, 1954

The pharyngeal flap operation. Clinics in Plastic Surgery 12(4): 697-710, 1985