PGI doctors perform country’s first robot-assisted vasovasostomy

In a historic breakthrough for Indian urological surgery, the Postgraduate Institute of Medical Education and Research (PGIMER) has performed the country’s first robot-assisted vasovasostomy, marking a significant technological advancement in male infertility treatment.

The procedure was conducted on Wednesday by a team of specialists led by Dr Aditya Prakash Sharma and Dr Girdhar Bora, Additional Professors in the Department of Urology, along with Prof Ravi Mohan. The patient, a 43-year-old man suffering from secondary infertility due to a prior vasectomy, was discharged just a day after the surgery.

Vasovasostomy, commonly known as vasectomy reversal, involves reconnecting the severed ends of the vas deferens to restore fertility. Traditionally performed under an operating microscope, the complex procedure was completed for the first time in India by using the da Vinci Surgical System.

“This innovation reflects PGIMER’s commitment to integrating cutting-edge technology into clinical care,” said Dr Sharma. “Robotic assistance allows for meticulous suturing with ultra-fine threads—thinner than a strand of human hair—while minimising surgeon fatigue and tremor. It opens up new avenues for couples seeking natural conception after vasectomy.”

Prof Ravi Mohan emphasised the broader significance of the development, noting, “The successful case showcases the versatility of robotic surgery beyond its established roles in oncology and reconstructive procedures. It positions PGIMER at the forefront of robotic microsurgery in andrology.”

The achievement places India among a select group of international centres to perform this intricate robot-assisted procedure.