ABSTRACT
Clinical andrology as a separate branch of medicine has largely developed. Many techniques in modern andrology simply cannot develop further without the contribution of microsurgery, which offers the hope of conception and/or restoration of function to patients previously considered inoperable and, therefore, permanently sterile. A survey of literature dealing with replantation of an amputated penis, including the description of the microsurgery techniques, is presented in a paper by J. D. Franklin and F. K. Kirchner. This chapter presents microsurgical techniques are in the two main aspects: vascular and non-vascular. Vascular surgery is exemplified by varicocelectomy, autotransplantation of the testis, and replantation of an amputed penis. The chapter discusses in the other group vasovasostomy, vasoepididymostomy, and implantation of an alloplastic spermatocele. Vasoepididymostomy with most conventional techniques has yielded miserable success rates, somewhere between 2 and 10%. S. J. Silber quotes his overall success rate of bilateral vasoepididymostomy as being approximately 80%.
