Laparoscopically assisted microsurgical vasovasostomy for obstructive azoospermia following bilateral inguinal hernia repair: a case series

In this small case series, laparoscopically assisted VV proved technically feasible and allowed restoration of vasal patency in selected patients with OA after bilateral hernia repair. Beyond the potential for natural conception, this approach may facilitate the use of ejaculated sperm for ART, avoiding surgical sperm retrieval in selected cases. These findings reinforce the dual role of VV: restoring natural fertility in some patients and providing ejaculated sperm for ART in others.