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.
Cuprins
Microsurgical Training.- Anatomy of the Male Reproductive System.- Microsurgical Subinguinal Varicocelectomy.- Microsurgical Hydrocelectomy.- Microsurgical Spermatocelectomy.- No-Scalpel Vasectomy.- Microsurgical Reconstruction: Decision-making.- Microsurgical Vasovasostomy.- Microsurgical Vasoepididymostomy.- Microsurgical Epididymal Sperm Aspiration.- Microsurgical Testicular Sperm Retrieval.- Transurethral Resection of the Ejaculatory Ducts (TURED).- Testis-sparing Excision of Testicular Tumor.- Microsurgically Assisted Repair of Inguinal Hernia.- Final Thoughts.
Despre autor
Marc Goldstein, MD, DSc (hon), FACS is the Matthew P. Hardy Distinguished Professor of Reproductive Medicine, and Urology at Weill Cornell Medical College of Cornell University; Surgeon-in-Chief, Male Reproductive Medicine and Surgery; and Director of the Center for Male Reproductive Medicine and Microsurgery at the New York Presbyterian Hospital Weill Cornell Medical Center. He is Adjunct Senior Scientist with the Population Council’s Center for Biomedical Research, located on the campus of Rockefeller University.
Dr. Goldstein is internationally renowned for his pioneering work in vasectomy reversals and microsurgical repair of varicoceles and blockages. He has performed over 1, 000 microsurgical vaso-vasostomies and vaso-epididymostomies. His technique of microsurgical vasectomy reversal, as published in a peer-reviewed journal, yields the highest reported sperm return and pregnancy rates. He developed a microsurgical technique of varicocelectomy in 1984 and has performed over 3, 500 cases with the lowest reported failure and complication rates. He was the first American surgeon to be trained in, and perform, the Chinese method of No-Scalpel Vasectomy. He has introduced the microsurgically assisted inguinal hernia repair which significantly reduces complications and failures.
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