cornellbrady1's video: Robotic mobilization of the vas deferens for obstructive azoospermia induced by mesh herniorrhaphy

Microsurgery was performed by Dr. Marc Goldstein. Robotic Surgery was performed by Dr. Ashutosh Tewari. Vedieo was presented and produced by Dr. Bobby B. Najari, Dr. Philip S. Li, Dr. Akanksha Mehta, Dr. David Green, Dr. Ashutosh Tewari, Dr. Marc Goldstein. Department of Urology, Weill Cornell Medical College. www.cornellurology.com; www.maleinfertility.org Introduction: Inguinal herniorrhaphy with mesh is the most common procedure performed in the Western world, and bilateral repair with mesh is a recognized cause of iatrogenic obstructive azoospermia. The obstruction occurs at the inguinal ring, making vasovasostomy challenging. Robotic-assisted laparoscopic mobilization of the vas deferens has never been described before and, as with other pelvic surgeries, may provide easier access to and manipulation of pelvic anatomy.