Robotic Assisted Vasectomy Reversal and Varicocelectomy

The robotic microsurgical procedures were directly adapted from classical microsurgery by obeying quite similar surgical principles. The use of robotic assistance for microsurgery has evolved with several advantages: a stable, ergonomic, scalable robotic platform with three-dimensional visualization and magnification; elimination of tremor with simultaneous ability to control three instruments and a camera in the surgeon console. All these features may provide superior outcomes. Robotic microsurgical procedures could be cost effective in the long term for hospitals who already own a robotic platform for other surgical disciplines. This article describes robotic assisted microsurgical vasectomy reversal techniques as well as varicocelectomy techniques and reviews the most recent outcomes.