Quality assurance （QA） and quality control （QC） are fundamental aspects of any laboratory measurement. However, in comparison with other medical disciplines, the need for QA and QC in laboratory andrology has been...Quality assurance （QA） and quality control （QC） are fundamental aspects of any laboratory measurement. However, in comparison with other medical disciplines, the need for QA and QC in laboratory andrology has been recognized only recently. Furthermore, there is evidence that the effort required to undertake QA and QC has not been wholly welcomed by some clinicians. Nevertheless, accrediting bodies and regulatory authorities increasingly require evidence that laboratories have effective QA and QC measures in place because both are central to the quality management processes. Following the publication of the 5th edition of the World Health Organization Laboratory Manual, existing QA and QC systems will need to be updated to take into account some of the methodological changes recommended by the manual. Three of these are discussed in this commentary; they relate to： （i） the move to infer semen volume from its weight; （ii） the re-classification of sperm motility grades from four to three; and （iii） the publication of a lower reference limit for morphology of 4% （with a corresponding 95% confidence interval of 3%-4%）. The importance of QA and QC in all laboratory tests, including up and coming new tests to assess sperm DNA integrity, is discussed. The need for adequate initial training and continuing professional development programmes to support laboratory scientists performing andrology is also described.展开更多
Andrology has a long history in traditional Chinese medicine. There are records of male sexual health, male sexual dysfunction and male infertility from over thousands of years ago. Modern andrology in China had a lat...Andrology has a long history in traditional Chinese medicine. There are records of male sexual health, male sexual dysfunction and male infertility from over thousands of years ago. Modern andrology in China had a late start, with the Chinese Androlo~ Association founded in 1995. Within last decade, andrology in China has grown rapidly. In this review article, we summarized the progress of androlo~ in last 10 years and outlined the current status of Chinese andrology with a special focus on progress in male erectile dysfunction, prostate diseases, male infertility and male hormonal contraception.展开更多
Aim: To present a personal account of the involvement of the World Health Organization (WHO) in the collaborativedevelopment in Asia of those areas of andrology concerned with male contraception and reproductive healt...Aim: To present a personal account of the involvement of the World Health Organization (WHO) in the collaborativedevelopment in Asia of those areas of andrology concerned with male contraception and reproductive health.Methods: The andrology training through workshops and institution support undertaken by the WHO HumanReproduction Programme (HRP) and how they contributed to the strengthening of andrology research in Asia aresummarised. Results: The author's experience and the Asian scientific contributions to the global research in thefollowing areas are reviewed: the safety of vasectomy and the development of new methods of vas occlusion; gossypoland its failure to become a safe, reversible male antifertility drag; Tripterygium and whether its pure extracts will passthrough the appropriate toxicology and phased clinical studies to become acceptable contraceptive drugs; hormonalmethods of contraception for men. Conclusion: The WHO policy of research capacity building through training andinstitution strengthening, together with the collaboration of Asian andrologists, has created strong National institutionsnow able to direct their own programmes of research in clinical and scientific andrology.展开更多
Andrology has a long history in traditional Chinese medicine （TCM） discussions concerning andropathies, and documentation of relevant therapeutic methods abound in the ancient literature on TCM. Integrated treatment...Andrology has a long history in traditional Chinese medicine （TCM） discussions concerning andropathies, and documentation of relevant therapeutic methods abound in the ancient literature on TCM. Integrated treatment combining TCM and Western medicine has seen both broad and in-depth development, with formidable status in the field of modern andrology in China. This article attempts to demonstrate the unique advantage of integrated treatment in the therapy of andropathies through a review of the ancient literature on andrology in the field of TCM and on the integrative treatment of prostatic diseases, sexual dysfunction, male infertility and late-onset hypogonadism. There is a need for the advancement of a medical theory that integrates TCM and Western medicine practices to create a new therapeutic system with standardized therapeutic and evaluative protocols for diseases involving male sexual health.展开更多
Aim： To improve workflow and usability by introduction of a new electronic patient record （EPR） and database. Methods： Establishment of an EPR based on open source technology （MySQL database and PI-IP scripting l...Aim： To improve workflow and usability by introduction of a new electronic patient record （EPR） and database. Methods： Establishment of an EPR based on open source technology （MySQL database and PI-IP scripting language） in a tertiary care andrology center at a university clinic. Workflow analysis, a benchmark comparing the two systems and a survey for usability and ergonomics were carried out. Results： Workflow optimizations （electronic ordering of laboratory analysis, elimination of transcription steps and automated referral letters） and the decrease in time required for data entry per patient to 71% ± 27%, P 〈 0.05, lead to a workload reduction. The benchmark showed a significant performance increase （highest with starting the respective system： 1.3 ± 0.2 s vs. 11.1 ± 0.2 s, mean ± SD）. In the survey, users rated the new system at least two ranks higher over its predecessor （P 〈 0.01） in all sub-areas. Conclusion： With further improvements, today＇s EPR can evolve to substitute paper records, saving time （and possibly costs）, supporting user satisfaction and expanding the basis for scientific evaluation when more data is electronically available. Newly introduced systems should be versatile, adaptable for users, and workflow-oriented to yield the highest benefit. If ready-made software is purchased, customization should be implemented during rollout. （Asian J Andro12006 Mar; 8： 235-241）展开更多
GENERAL The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by theShanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been incl...GENERAL The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by theShanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in 11 internationalindexing systems, including BIOSIS, CAB Abstracts, CAB Health, Chemical Abstracts, Current Contents/Clinical Medicine,EMBASE,Index Medicus, MEDLINE, PASCAL, Research Alert, and SCI Expanded. The Impact Factor is 1.096 and the Journalranks third among international andrology journals. The Iournal invites concise reports of original research in all areas of andrology,both experimental and clinical,including展开更多
The Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored by theShanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 ...The Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored by theShanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 internationalindexing systems,including BIOSIS,CAB Abstracts,CAB Health,Chemical Abstracts,Cunent Contents/Clinical Medicine,EMBASE,Index Medicus,MEDLINE,PASCAL,Research Alert,and SCI Expanded.The Impact Factor is 1.096 and the Journalranks third among international andrology journals.The Journal invites concise reports of original research in all areas of andrology,both experimental and clinical,includingmodern,traditional and epidemiological studies,from any part of the world.Review articles will be published by invitationfiom the Editor-in-Chief,but mini-reviews(no more than 4 printed pages)based primarily on authors own research on展开更多
The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by the Shanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in...The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by the Shanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in 11 international indexing systems, including BIOSIS, CAB Abstracts, CAB Health, Chemical Abstracts, Current Contents/Clinical Medicine, EMBASE, Index Medicus, MEDLINE, PASCAL, Research Alert, and SCI Expanded. The Impact Factor is 1.302 and the Journal ranks third among international andrology journals.展开更多
P02MEN’S HEALTH: AN EMERGING CONCEPT CHAL LENGES FOR MEN TODAYLouis Gooren Vrije Universiteit Medical Center, Amsterdam, the NetherlandsThe challenges ahead with regard to the aging male are tremendous. In the year 2...P02MEN’S HEALTH: AN EMERGING CONCEPT CHAL LENGES FOR MEN TODAYLouis Gooren Vrije Universiteit Medical Center, Amsterdam, the NetherlandsThe challenges ahead with regard to the aging male are tremendous. In the year 2000, there were more than 400 million people aged 65 and over in the world-projected to increase to展开更多
As President of the International Society of Andrology, it gives me great pleasure to congratulate the Asian Society ofAndrology for its initiative in founding the Asian Journal of Andrology. In doing so, I also send ...As President of the International Society of Andrology, it gives me great pleasure to congratulate the Asian Society ofAndrology for its initiative in founding the Asian Journal of Andrology. In doing so, I also send my best wishes for thesuccess of this important journal in spreading the knowledge of andrology throughout the most populous continent in theworld. This new journal appears at a very timely moment, at the turn of the millennium and at a time when andrology isreceiving the recognition amongst medical specialities that it deserves. In conclusion, I would like to call on all Asianandrologists to support their journal and to work to improve the reproductive health of men.展开更多
GENERALThe Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored by theShanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included...GENERALThe Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored by theShanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 internationalindexing systems,including BIOSIS,CAB Abstracts,CAB Health,Chemical Abstracts,Current Contents/Clinical Medicine,EMBASE,Index Medicus,MEDLINE,PASCAL,Research Alert,and SCI Expanded.The impact Factor is 1.096 and the Journalranks third among international andrology journals.The Journal invites concise reports of original research in all areas of andrology,both experimental and clinical,includingmodern,traditional and epidemiological studies,from any part of the world.Review articles will be published by invitationfrom the Editor-in-Chief,but mini-reviews (no more than 4 printed pages) based primarily on authors’ own research oninternationally important topics are accepted.Short communications and letters to the editor are also welcome.Authors are requested to submit a covering letter indicating that their manuscript represents original unpublished material展开更多
The term andrology was introduced into the medical literature in 1951 by Dr Harald Siebke, Professor ofGynaecology at Bonn, Germany to encompass all areas pertaining to male reproduction, thus identifying thisspeciali...The term andrology was introduced into the medical literature in 1951 by Dr Harald Siebke, Professor ofGynaecology at Bonn, Germany to encompass all areas pertaining to male reproduction, thus identifying thisspecialization as distinct and at a par with gynaecology. However, many years elapsed before the term received thepopularity it deserved. Andrology got recognition in 1969, when Professor Carl Schirren of Hamburg, Germany,展开更多
The Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored bythe Shanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 ...The Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored bythe Shanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 inter-national indexing systems,including BIOSIS,CAB Abstracts,CAB Health,Chemical Abstracts,Current Contents/Clinical Medicine,EMBASE,Index Medicus,MEDLINE,PASCAL,Research Alert,and SCI Expanded.The ImpactFactor is 1.064 and the Journal ranks third among international andrology journals.展开更多
PresidentDr.Shao-Zhen QianEditor-in-chief, Asian Journal of Andrology Professor of PharmacologyActing-president Dr. Yi-Fei WangInstitute of Reproductive Medicine Shanghai Second Medical University 280 South Chongqing ...PresidentDr.Shao-Zhen QianEditor-in-chief, Asian Journal of Andrology Professor of PharmacologyActing-president Dr. Yi-Fei WangInstitute of Reproductive Medicine Shanghai Second Medical University 280 South Chongqing Road Shanghai 200025, China Tel/Fax:+86-21-6445 3260 E-mail: wangyf@shsmu.edu.cn展开更多
Artificial intelligence (AI) is revolutionizing the current approach to medicine. AI uses machine learning algorithms to predict the success of therapeutic procedures or assist the clinician in the decision-making pro...Artificial intelligence (AI) is revolutionizing the current approach to medicine. AI uses machine learning algorithms to predict the success of therapeutic procedures or assist the clinician in the decision-making process. To date, machine learning studies in the andrological field have mainly focused on prostate cancer imaging and management. However, an increasing number of studies are documenting the use of AI to assist clinicians in decision-making and patient management in andrological diseases such as varicocele or sexual dysfunction. Additionally, machine learning applications are being employed to enhance success rates in assisted reproductive techniques (ARTs). This article offers the clinicians as well as the researchers with a brief overview of the current use of AI in andrology, highlighting the current state-of-the-art scientific evidence, the direction in which the research is going, and the strengths and limitations of this approach.展开更多
Robot-assisted surgery is the gold standard of treatment in many fields of urology. In this systematic review, we aim to reportits usage in andrology and to evaluate any advantages. A systematic search of the PubMed a...Robot-assisted surgery is the gold standard of treatment in many fields of urology. In this systematic review, we aim to reportits usage in andrology and to evaluate any advantages. A systematic search of the PubMed and Cochrane Library databases wasconducted to identify articles referring to robotic-assisted microsurgery in andrology. The search strategy was in line with thePreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Cochrane Handbook. Thearticles were then reviewed by two authors. A qualitative analysis of the articles that met the inclusion criteria was performed.Thirty-one articles that met the inclusion criteria were reviewed. The first results for robot-assisted vasovasostomy (RAVV) areencouraging as excellent patency rates, short operative times, and learning curves were achieved. Interestingly, patency rates weregreater in some case series for RAVV than for microsurgical vasovasostomy, with a statistically significant difference. In addition,robot has been shown to be of great use in bypassing fibrotic changes in cases of iatrogenic vasal injuries, difficulties encounteredwith traditional microsurgery. In addition, the feasibility of robot-assisted microsurgery has been proven for varicocelectomy andmicrosurgical denervation of the spermatic cord, with acceptable improvement in sperm parameters and pain, respectively. Thecurrent evidence suggests that there are potential advantages of the use of robots in andrology. However, for robotic surgery tobecome incorporated into the daily use of the andrologists, large, multicenter randomized trials are needed. As robotics systemsare becoming standard in urology practice, it is reasonable for one to believe that they will also find their place in andrology.展开更多
文摘Quality assurance （QA） and quality control （QC） are fundamental aspects of any laboratory measurement. However, in comparison with other medical disciplines, the need for QA and QC in laboratory andrology has been recognized only recently. Furthermore, there is evidence that the effort required to undertake QA and QC has not been wholly welcomed by some clinicians. Nevertheless, accrediting bodies and regulatory authorities increasingly require evidence that laboratories have effective QA and QC measures in place because both are central to the quality management processes. Following the publication of the 5th edition of the World Health Organization Laboratory Manual, existing QA and QC systems will need to be updated to take into account some of the methodological changes recommended by the manual. Three of these are discussed in this commentary; they relate to： （i） the move to infer semen volume from its weight; （ii） the re-classification of sperm motility grades from four to three; and （iii） the publication of a lower reference limit for morphology of 4% （with a corresponding 95% confidence interval of 3%-4%）. The importance of QA and QC in all laboratory tests, including up and coming new tests to assess sperm DNA integrity, is discussed. The need for adequate initial training and continuing professional development programmes to support laboratory scientists performing andrology is also described.
文摘Andrology has a long history in traditional Chinese medicine. There are records of male sexual health, male sexual dysfunction and male infertility from over thousands of years ago. Modern andrology in China had a late start, with the Chinese Androlo~ Association founded in 1995. Within last decade, andrology in China has grown rapidly. In this review article, we summarized the progress of androlo~ in last 10 years and outlined the current status of Chinese andrology with a special focus on progress in male erectile dysfunction, prostate diseases, male infertility and male hormonal contraception.
文摘Aim: To present a personal account of the involvement of the World Health Organization (WHO) in the collaborativedevelopment in Asia of those areas of andrology concerned with male contraception and reproductive health.Methods: The andrology training through workshops and institution support undertaken by the WHO HumanReproduction Programme (HRP) and how they contributed to the strengthening of andrology research in Asia aresummarised. Results: The author's experience and the Asian scientific contributions to the global research in thefollowing areas are reviewed: the safety of vasectomy and the development of new methods of vas occlusion; gossypoland its failure to become a safe, reversible male antifertility drag; Tripterygium and whether its pure extracts will passthrough the appropriate toxicology and phased clinical studies to become acceptable contraceptive drugs; hormonalmethods of contraception for men. Conclusion: The WHO policy of research capacity building through training andinstitution strengthening, together with the collaboration of Asian andrologists, has created strong National institutionsnow able to direct their own programmes of research in clinical and scientific andrology.
文摘Andrology has a long history in traditional Chinese medicine （TCM） discussions concerning andropathies, and documentation of relevant therapeutic methods abound in the ancient literature on TCM. Integrated treatment combining TCM and Western medicine has seen both broad and in-depth development, with formidable status in the field of modern andrology in China. This article attempts to demonstrate the unique advantage of integrated treatment in the therapy of andropathies through a review of the ancient literature on andrology in the field of TCM and on the integrative treatment of prostatic diseases, sexual dysfunction, male infertility and late-onset hypogonadism. There is a need for the advancement of a medical theory that integrates TCM and Western medicine practices to create a new therapeutic system with standardized therapeutic and evaluative protocols for diseases involving male sexual health.
文摘Aim： To improve workflow and usability by introduction of a new electronic patient record （EPR） and database. Methods： Establishment of an EPR based on open source technology （MySQL database and PI-IP scripting language） in a tertiary care andrology center at a university clinic. Workflow analysis, a benchmark comparing the two systems and a survey for usability and ergonomics were carried out. Results： Workflow optimizations （electronic ordering of laboratory analysis, elimination of transcription steps and automated referral letters） and the decrease in time required for data entry per patient to 71% ± 27%, P 〈 0.05, lead to a workload reduction. The benchmark showed a significant performance increase （highest with starting the respective system： 1.3 ± 0.2 s vs. 11.1 ± 0.2 s, mean ± SD）. In the survey, users rated the new system at least two ranks higher over its predecessor （P 〈 0.01） in all sub-areas. Conclusion： With further improvements, today＇s EPR can evolve to substitute paper records, saving time （and possibly costs）, supporting user satisfaction and expanding the basis for scientific evaluation when more data is electronically available. Newly introduced systems should be versatile, adaptable for users, and workflow-oriented to yield the highest benefit. If ready-made software is purchased, customization should be implemented during rollout. （Asian J Andro12006 Mar; 8： 235-241）
文摘GENERAL The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by theShanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in 11 internationalindexing systems, including BIOSIS, CAB Abstracts, CAB Health, Chemical Abstracts, Current Contents/Clinical Medicine,EMBASE,Index Medicus, MEDLINE, PASCAL, Research Alert, and SCI Expanded. The Impact Factor is 1.096 and the Journalranks third among international andrology journals. The Iournal invites concise reports of original research in all areas of andrology,both experimental and clinical,including
文摘The Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored by theShanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 internationalindexing systems,including BIOSIS,CAB Abstracts,CAB Health,Chemical Abstracts,Cunent Contents/Clinical Medicine,EMBASE,Index Medicus,MEDLINE,PASCAL,Research Alert,and SCI Expanded.The Impact Factor is 1.096 and the Journalranks third among international andrology journals.The Journal invites concise reports of original research in all areas of andrology,both experimental and clinical,includingmodern,traditional and epidemiological studies,from any part of the world.Review articles will be published by invitationfiom the Editor-in-Chief,but mini-reviews(no more than 4 printed pages)based primarily on authors own research on
文摘The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by the Shanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in 11 international indexing systems, including BIOSIS, CAB Abstracts, CAB Health, Chemical Abstracts, Current Contents/Clinical Medicine, EMBASE, Index Medicus, MEDLINE, PASCAL, Research Alert, and SCI Expanded. The Impact Factor is 1.302 and the Journal ranks third among international andrology journals.
文摘P02MEN’S HEALTH: AN EMERGING CONCEPT CHAL LENGES FOR MEN TODAYLouis Gooren Vrije Universiteit Medical Center, Amsterdam, the NetherlandsThe challenges ahead with regard to the aging male are tremendous. In the year 2000, there were more than 400 million people aged 65 and over in the world-projected to increase to
文摘As President of the International Society of Andrology, it gives me great pleasure to congratulate the Asian Society ofAndrology for its initiative in founding the Asian Journal of Andrology. In doing so, I also send my best wishes for thesuccess of this important journal in spreading the knowledge of andrology throughout the most populous continent in theworld. This new journal appears at a very timely moment, at the turn of the millennium and at a time when andrology isreceiving the recognition amongst medical specialities that it deserves. In conclusion, I would like to call on all Asianandrologists to support their journal and to work to improve the reproductive health of men.
文摘GENERALThe Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored by theShanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 internationalindexing systems,including BIOSIS,CAB Abstracts,CAB Health,Chemical Abstracts,Current Contents/Clinical Medicine,EMBASE,Index Medicus,MEDLINE,PASCAL,Research Alert,and SCI Expanded.The impact Factor is 1.096 and the Journalranks third among international andrology journals.The Journal invites concise reports of original research in all areas of andrology,both experimental and clinical,includingmodern,traditional and epidemiological studies,from any part of the world.Review articles will be published by invitationfrom the Editor-in-Chief,but mini-reviews (no more than 4 printed pages) based primarily on authors’ own research oninternationally important topics are accepted.Short communications and letters to the editor are also welcome.Authors are requested to submit a covering letter indicating that their manuscript represents original unpublished material
文摘The term andrology was introduced into the medical literature in 1951 by Dr Harald Siebke, Professor ofGynaecology at Bonn, Germany to encompass all areas pertaining to male reproduction, thus identifying thisspecialization as distinct and at a par with gynaecology. However, many years elapsed before the term received thepopularity it deserved. Andrology got recognition in 1969, when Professor Carl Schirren of Hamburg, Germany,
文摘The Asian Journal of Andrology is the official publication of the Asian Society of Andrology,and is sponsored bythe Shanghai Institute of Materia Medica,Chinese Academy of Sciences.The Journal has been included in 11 inter-national indexing systems,including BIOSIS,CAB Abstracts,CAB Health,Chemical Abstracts,Current Contents/Clinical Medicine,EMBASE,Index Medicus,MEDLINE,PASCAL,Research Alert,and SCI Expanded.The ImpactFactor is 1.064 and the Journal ranks third among international andrology journals.
文摘PresidentDr.Shao-Zhen QianEditor-in-chief, Asian Journal of Andrology Professor of PharmacologyActing-president Dr. Yi-Fei WangInstitute of Reproductive Medicine Shanghai Second Medical University 280 South Chongqing Road Shanghai 200025, China Tel/Fax:+86-21-6445 3260 E-mail: wangyf@shsmu.edu.cn
文摘Artificial intelligence (AI) is revolutionizing the current approach to medicine. AI uses machine learning algorithms to predict the success of therapeutic procedures or assist the clinician in the decision-making process. To date, machine learning studies in the andrological field have mainly focused on prostate cancer imaging and management. However, an increasing number of studies are documenting the use of AI to assist clinicians in decision-making and patient management in andrological diseases such as varicocele or sexual dysfunction. Additionally, machine learning applications are being employed to enhance success rates in assisted reproductive techniques (ARTs). This article offers the clinicians as well as the researchers with a brief overview of the current use of AI in andrology, highlighting the current state-of-the-art scientific evidence, the direction in which the research is going, and the strengths and limitations of this approach.
文摘Robot-assisted surgery is the gold standard of treatment in many fields of urology. In this systematic review, we aim to reportits usage in andrology and to evaluate any advantages. A systematic search of the PubMed and Cochrane Library databases wasconducted to identify articles referring to robotic-assisted microsurgery in andrology. The search strategy was in line with thePreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Cochrane Handbook. Thearticles were then reviewed by two authors. A qualitative analysis of the articles that met the inclusion criteria was performed.Thirty-one articles that met the inclusion criteria were reviewed. The first results for robot-assisted vasovasostomy (RAVV) areencouraging as excellent patency rates, short operative times, and learning curves were achieved. Interestingly, patency rates weregreater in some case series for RAVV than for microsurgical vasovasostomy, with a statistically significant difference. In addition,robot has been shown to be of great use in bypassing fibrotic changes in cases of iatrogenic vasal injuries, difficulties encounteredwith traditional microsurgery. In addition, the feasibility of robot-assisted microsurgery has been proven for varicocelectomy andmicrosurgical denervation of the spermatic cord, with acceptable improvement in sperm parameters and pain, respectively. Thecurrent evidence suggests that there are potential advantages of the use of robots in andrology. However, for robotic surgery tobecome incorporated into the daily use of the andrologists, large, multicenter randomized trials are needed. As robotics systemsare becoming standard in urology practice, it is reasonable for one to believe that they will also find their place in andrology.
