Atlas of Male Infertility Microsurgery

Book excerpt: Infertility affects approximately 15% of couples attempting to conceive, and male factor is known to be either the primary or a contributing factor in at least half of all cases of couple infertility. More than half of male infertility is amenable to microsurgical treatment, but a majority of urology residency programs provide little or no training in male infertility or its microsurgical treatment. Textbooks typically include a chapter or two on surgery of male infertility, but often these chapters only cover basic concepts and simplified overviews and miss the many finer points that are only taught by observing or scrubbing directly in the operating room. Utilizing Dr. Marc Goldstein's extensive surgical experience, this atlas focuses primarily on microsurgical techniques for restoring and preserving male fertility. The chapters discuss surgical anatomy and diagnosis, microsurgery of the vas deferens and epididymis, varicocele and other fertility-related procedures. Topics and techniques include vasectomy, vasovasostomy, vasoepididymostomy, varicocelectomy, hydrocelectomy, and microsurgically assisted inguinal hernia repair. Equipment, instrumentation and training in microsurgery, including animal models, are also discussed. In each chapter, practical tips and tricks are highlighted. Enhanced by plentiful intraoperative photos and original illustrations, Atlas of Male Infertility Microsurgery is an essential resource for male reproductive surgeons, urologists, residents and fellows.