Pre-operative risk factors associated with need for vasoepididymostomy at the time of vasectomy reversal

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Vasoepididymostomy for vasectomy reversal: a critical assessment in the era of intracytoplasmic sperm injection.

PURPOSE We compared vasoepididymostomy to microsurgical epididymal sperm aspiration and intracytoplasmic sperm injection for treatment of epididymal obstruction secondary to vasectomy. MATERIALS AND METHODS Results in patients who underwent vasoepididymostomy for vasectomy reversal at our institution were compared to those reported previously for microsurgical epididymal sperm aspiration and ...

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Patient characteristics associated with vasectomy reversal.

PURPOSE More than 30 million couples throughout the world are using vasectomy as a method of birth control. It is estimated that up to 6% of men who undergo voluntary sterilization will eventually request reversal, despite the high cost and relatively low success rate of the procedure. We identified characteristics that predict which vasectomy patients may request reversal. We also examined the...

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Model to predict if a vasoepididymostomy will be required for vasectomy reversal.

PURPOSE We devised a model to predict, preoperatively, the need for a vasoepididymostomy (VE) when performing a vasectomy reversal. Urologists could use it to identify those patients who need a referral to an experienced VE surgeon. MATERIALS AND METHODS We performed a retrospective review of 483 patients who underwent vasectomy reversal by a single surgeon (AJT) including 393 vasovasostomies...

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The need for epididymovasostomy at vasectomy reversal plateaus in older vasectomies: a study of 1229 cases

Vasectomy reversal involves either vasovasostomy (VV) or epididymovasostomy (EV), and rates of epididymal obstruction and EV increase with time after vasectomy. However, as older vasectomies may not require EV for successful reversal, we hypothesized that sperm production falls after vasectomy and can protect the system from epididymal blowout. Our objective was to define how the need for EV at...

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ژورنال

عنوان ژورنال: Andrology

سال: 2015

ISSN: 2047-2919

DOI: 10.1111/andr.12139