A vasovasostomy may be performed on an outpatient basis with local anesthesia, but also may be performed on an outpatient basis with epidural or general anesthesia. Local anesthesia is preferred by most of my patients, the majority of whom choose this technique. With proper preoperative and intraoperative sedation, patients sleep lightly through most of the procedure. Because of the length of time often required for bilateral microsurgical vasoepididymostomy, epidural or general anesthesia and overnight hospitalization are usually necessary. Factors influencing the preoperative choice for vasovasostomy or vasoepididymostomy in patients undergoing vasectomy reversal are considered. The preoperative planned choice of vasovasostomy or vasoepididymostomy for patients having vasectomy reversal described herein does not have the support of all urologists who regularly perform these procedures. My present approach has evolved as the data reported in Tables 1 and 2 have become available, but it may change as new information is evaluated. However, it offers a logical method for planning choices of anesthesia and inpatient or outpatient status for patients undergoing vasectomy reversal procedures.
输精管吻合术可以在门诊进行，采用局部麻醉，也可以在门诊进行，采用硬膜外麻醉或全身麻醉。我的大多数患者更喜欢局部麻醉，其中大多数人选择这种技术。通过适当的术前和术中镇静，患者在手术的大部分时间里处于浅睡眠状态。由于双侧显微外科输精管附睾吻合术通常需要较长时间，通常需要硬膜外麻醉或全身麻醉以及住院过夜。考虑了影响输精管复通术患者术前选择输精管吻合术或输精管附睾吻合术的因素。本文所述的输精管复通术患者术前计划选择输精管吻合术或输精管附睾吻合术并未得到所有定期进行这些手术的泌尿科医生的支持。随着表1和表2中报告的数据可用，我目前的方法已经演变，但随着新信息的评估，它可能会改变。然而，它为输精管复通术患者的麻醉选择以及住院或门诊状态提供了一种合理的规划方法。
