Office-based vasectomy reversal using local anesthesia - Landon W. Trost, MD
The current video demonstrates an office-based approach for vasectomy reversal using only local anesthesia. Although office-based vasovasostomies have been previously performed in the office, the current video represents the first known description of an office-based epididymovasostomy under local anesthesia. Descriptions are provided on methods to optimize local pain control, and published outcomes of an initial series are presented.
Dr. Hotaling: Dr. Trost shows how effective a good block can be, using Exparel he performs a local block as well as a cord block. He then identifies and delivers the vas, places a vessel loop around it, and uses blunt dissection to obtain 2 cm of length both proximally and distally, freeing up a remarkable amount of vas for the anastomosis through a small midline incision. He also illustrates an interesting technique of using snaps and a drain to provide a secure operative platform.
To get weekly news from the leading news source for urologists, subscribe to the Urology Times eNews.