Vasectomy reversal with ultrasonography-guided spermatic cord block

Birkhäuser, Frédéric D; Wipfli, Marius; Eichenberger, Urs; Luyet, Cédric; Greif, Robert; Thalmann, George N (2012). Vasectomy reversal with ultrasonography-guided spermatic cord block. BJU international, 110(11), pp. 1796-800. Oxford: Blackwell Science 10.1111/j.1464-410X.2012.11099.x

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Study Type--Therapy (case series) Level of Evidence 4. What's known on the subject? and What does the study add? Vasectomy reversal is often performed in general or neuraxial anaesthesia. Even though the site of vasectomy reversal is easily amenable to regional/local anaesthesia, spermatic cord blocks are rarely applied because of their risk of vascular damage within the spermatic cord. Recently, we described the technique of ultrasonography (US)-guided spermatic cord block for scrotal surgery, which, thanks to the US guidance, at the same time avoids the risk of vascular damage of blindly performed injections and the risks of general and neuraxial anaesthesia. Vasectomy reversal can easily be done in regional anaesthesia with the newly described technique of US-guided spermatic cord block without the risks of vascular damage by a blindly performed injection and the risks of standard general and neuraxial anaesthesia. In addition, this technique grants long-lasting postoperative pain relief and patients recover more quickly. Microsurgical conditions are excellent and patient satisfaction is high. Thanks to these advantages, more patients undergoing vasectomy reversal might avoid general or neuraxial anaesthesia.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology 04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
UniBE Contributor:	Birkhäuser, Frédéric, Wipfli, Marius, Luyet, Cédric, Greif, Robert, Thalmann, George
ISSN:	1464-4096
Publisher:	Blackwell Science
Language:	English
Submitter:	Jeannie Wurz
Date Deposited:	04 Oct 2013 14:33
Last Modified:	05 Dec 2022 14:10
Publisher DOI:	10.1111/j.1464-410X.2012.11099.x
PubMed ID:	22452577
Web of Science ID:	000312245900046
URI:	https://boris.unibe.ch/id/eprint/13005 (FactScience: 219506)