CPT® Code 55400

A vasovasostomy, also known as vasovasorrhaphy, is a surgical procedure aimed at reconnecting the ends of the vas deferens, which is the duct that carries sperm from the testicles to the urethra. This procedure is typically performed following a vasectomy, a surgical method of male sterilization, where the vas deferens is cut or blocked to prevent sperm from entering the ejaculate. Additionally, a vasovasostomy may be indicated to repair an iatrogenic injury to the vas deferens that may have occurred during another surgical procedure. The operation involves making an incision in the scrotal skin over the previous surgical scar, allowing access to the vas deferens. The surgeon carefully pulls the vas deferens into the operative field, where the ends are prepared for reconnection. This preparation includes incising and dilating the ends of the vas deferens, introducing an angiocath into the lumen to facilitate irrigation with saline, and assessing the patency of the duct by examining the irrigation fluid for the presence of spermatozoa or sperm fragments. Once confirmed, the ends of the vas deferens are meticulously anastomosed, which can be done using either a single-layer or multiple-layer technique. After the reconnection is complete, the vas deferens is returned to the scrotum, and the incision in the skin is closed using absorbable sutures, ensuring a secure and effective healing process.