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...

Vasectomy was once the most common birth control method in both Sichuan Province, China and the world. However, since the 1990s the prevalence of vasectomy in Sichuan, has declined significantly compared to female sterilization in Sichuan and national prevalence of male/female sterilization during the same period. To explore possible reasons for this decline, 27 focus group discussions (FGDs) a...

The growing popularity of vasectomy as a primary form of birth control has also created an increasing demand for vasectomy reversal (VR). The advent of IVF with intracytoplasmic sperm injection after sperm retrieval has given couples an alternative to traditional VR. Although VR remains the most cost-effective and natural way to conceive after vasectomy, competing interests and market pressures...

Vasectomy is the most effective form of male sterilisation and is performed worldwide by urologists, general surgeons and family practitioners [ 1 ] . Various techniques for vasectomy have been described, but the underlying principle is to remove a satisfactory segment of the vas deferens, followed by closure of the proximal and distal ends, to ensure that the patient achieves azoospermia whils...

Five mature dairy bulls were killed 10 weeks after unilateral vasectomy. Testes on the vasectomized side weighed 67% of the contralateral controls (P<.O1) and contained only 34% as many spermatids as the control testes (P<.01). Since a previous report showed little or no change in spermatogenesis in younger bulls at 23 weeks after vasectomy, possibly vasectomy temporarily interrupts spermatogen...

Introduction: Vasectomy is the safest and most reliable method of all the contraception methods, but azoospermia is not achieved immediately by this method. We decided to determine whether irrigation of the vas deferens with sterile water or hypertonic saline solution irrigation during vasectomy would reduce the time needed to obtain azoospermia. Materials and Methods: A total of 126 fertile me...

A series of 32 males who discontinued all forms of contraception following bilateral vasectomy and irrigation of each vas with 2.5 ml of 1/1000 solution of euflavine, have been followed for one year. During this period in which coitus continued with the same frequency as before vasectomy, no pregnancy has resulted. Semen specimens examined shortly after vasectomy in all subjects showed "moderat...

CONTEXT The risk of paternity after vasectomy is rare but still exists. Overall failure to achieve sterility after vasectomy occurs in 0.2 to 5.3% of patients due to technical failure or recanalization. The objective of this report was to describe a rare but notable case of proven paternity in which the semen analyses had not given evidence of spermatozoa. CASE REPORT A 44-year-old vasectomiz...

Vasectomy is an elective surgical sterilization procedure for men that is intended to obstruct or remove a portion of both vas deferens, thereby preventing sperm from moving from the testes to the ejaculatory ducts. Although intended for permanent sterilization, vasectomy can be reversed in most men seeking to restore their fertility due to a change in marital status or reproductive goals. The ...

Abstract Introduction On June 24, 2022, the U.S. Supreme Court’s landmark decision on DOBBS v. JACKSON WOMEN'S HEALTH ORGANIZATION leaves abortion rights or restrictions to be defined at state level. The following week several news outlets reported that urologists across country are experiencing significant increases in clinical encounters for individuals interested undergoing a vasectomy. Obje...