The best infertility treatment for vasectomized men: assisted reproduction or vasectomy reversal?
نویسندگان
چکیده
منابع مشابه
The best infertility treatment for vasectomized men: assisted reproduction or vasectomy reversal?
In men with prior vasectomy, microsurgical reconstruction of the reproductive tract is more cost-effective than sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection if the obstructive interval is less than 15 years and no female fertility risk factors are present. If epididymal obstruction is detected or advanced female age is present, the decision to use either micr...
متن کاملValidation of robot-assisted vasectomy reversal
Vasectomy reversal (VR) has traditionally been performed with the operative microscope. Recently, robot assistance has been applied to VR. Retrospective chart review from a single VR center included men who underwent either robot-assisted VR (RAVR) or microsurgical VR (MVR) by a single fellowship trained microsurgeon between 2011 and 2013 and had a 6 weeks postoperative semen analysis. Fifty-tw...
متن کاملVasectomy reversal for post-vasectomy pain syndrome
Post-vasectomy pain syndrome (PVPS) is a rare, but devastating outcome following vasectomy. Given the widespread utilization of vasectomy for permanent contraception, with more than 500,000 procedures performed annually in the United States, it can be a significant challenge for both patients and providers. Vasectomy reversal is a surgical option for men who fail conservative or medical managem...
متن کاملSurgery or assisted reproduction? A decision analysis of treatment costs in male infertility.
PURPOSE Assisted reproductive technology (ART), including in vitro fertilization and intracytoplasmic sperm injection, is routinely used to treat male factor infertility. Because of the success of ART, the optimal method to achieve pregnancy with male infertility is controversial. Two examples in which ART competes with traditional male infertility treatments are varicocelectomy and vasectomy r...
متن کاملUterine Imaging in Infertility and Assisted Reproduction
Uterine pathologies are found to be present in 25% of infertile patients [2] . Structural abnormalities of the uterus, such as leiomyoma, endom etrial polyps, intrauterine adhesions (IUAs), adenomyosis and mullerian anomalies, may affect the reproductive outcome adversely, by interfering with implantation or causing spontaneous abortion. Therefore, exclusion of any uterine pathology becomes an ...
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ژورنال
عنوان ژورنال: Revista do Hospital das Clínicas
سال: 2004
ISSN: 0041-8781
DOI: 10.1590/s0041-87812004000500016