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Vatsyayann’s “Dual purpose, Single suture” technique of
VasoVasostomy (Vasectomy Reversal)
Suresh VatsyayannMBBS, FCGP, DNB, FRNZCGP, BSocSci Hons with 1st Class Hons in Health
Development & Policy, MBA with Distinction
Needle with suture going through the lumen
and getting out through the vas wall
As has been through this wall & lumen
3-4 Zero Unbraided Dexon or Vicryl or Plain suture
Round body needle
Longitudinal and circular muscle fibers of the Vas
The Vas
lumen
Absorbable suture through vas wall, lumen,
lumen & vas wall
This single suture is serving dual purpose ...
of keeping the vas ends together to heal
properly ...
Option A
One step, dual purpose suture
Vatsyayann’s technique of VasoVasotomy
while maintaining the lumen patent till healing
is completed & suture is absorbed
Two ends of
Vas out &
together
through a cm
of skin incision
under local
anesthesia and
no microscope
Option B
Simple in
execution
nevertheless,
finding the vas
ends and making
them ready for this
simple anastmosis
needs skills and
perseverance
I would love to teach the technique to any
doctor interested in helping people with
lesser financial barrier to access
sophisticated surgery
Option B
