Scope of Experience
I practice medical and surgical treatment for infertility, as well as the laboratory part of IVF/ICSI.
My field of special interest is microsurgery; for correction of obstruction, varicocelectomy and microdissection TESE.
My approach to the repair of seminal tract obstruction is to perform a full repair to all sites of obstruction on either side in the same setting. This may involve epididymovasostomy, vasovasostomy, transurethral resection of the ejaculatory ducts, pelviscrotal vasovasostomy, or a combination of the aforementioned, since I have come to believe that multiple site obstruction is a common incident. I have published this approach at the PAMJ:
Reviving The Value Of Reconstructive
Surgery For Obstructive Azoospermic Infertility: Is It Worth It?
Pelviscrotal Vasovasostomy "PSVV" is a
technique I invented to bypass obstruction at the inguinal region as a
result of previous inguinal surgery. Classically, this used to be approached
by ICSI or inguinal vasovasostomy that involves a large incision on each
side of the abdomen on top of the previous large incisions of the hernia
repair, and to try the impossible process of finding and re-attaching the
remnants of the vas deferens within the chaotic site of the previous
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