Vasectomy is the most common urological procedure in the United States with 18% of men having a vasectomy before age 45. A significant proportion of vasectomized men ultimately request vasectomy reversal, usually due to divorce and/or remarriage. Vasectomy reversal is a commonly practiced but technically demanding microsurgical procedure that restores patency of the male excurrent ductal system...

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...

STUDY QUESTION Does vasectomy impact microRNA (miRNA) expression in the epididymis and seminal microvesicles (SMVs) in a non-reversible manner? SUMMARY ANSWER The miRNA signature in the epididymis and SMVs is altered by vasectomy and only partially restored after vasovasostomy surgery. WHAT IS KNOWN ALREADY Vasectomy modifies the epididymal transcriptome and triggers non-reversible changes ...

La vasectomía constituye un método de anticoncepción electivo para el varón, que consiste en la ligadura o remoción de un segmento de ambos conductos deferentes, evitando así el paso de espermatozoides de los testículos a los conductos eyaculadores. Alrededor de 6% de los pacientes vasectomizados, solicitaran en el futuro la recanalización de la misma. Objetivo: El propósito de este documento e...

© Translational Andrology and Urology. All rights reserved. Transl Androl Urol, 2015;4(S1) www.amepc.org/tau this emergent episode, he was just admitted due to dyspnea and electrolytes imbalance. He decided to discharge against advice before completing the treatment. After lunch, he locked himself in the bathroom and used kitchen knife to mutilate his penis. He was brought to our emergency depa...

Since the late 1970s the definition and etiology of chronic testicular pain following vasectomy has been evolving, as have the names for this syndrome, including postvasectomy orchalgia (Shapiro and Silber, 1979), late postvasectomy syndrome (Selikowitz and Schned, 1985), congestive epididymitis (Schmidt and Free, 1978), chronic testicular pain (McMahon et al, 1992), and postvasectomy pain synd...