Higher Outcomes of Vasectomy Reversal in Men with the Same Female Partner as Before Vasectomy

Kevin A. Ostrowski, A. Scott Polackwich, Joe Kent, Michael Conlin, Jason Hedges, Eugene Fuchs

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose We reviewed fertility outcomes of vasectomy reversal at a high surgical volume center in men with the same female partner as before vasectomy. Materials and Methods We retrospectively studied a prospective database. All vasectomy reversals were performed by a single surgeon (EFF). Patients who underwent microsurgical vasectomy reversal and had the same female partner as before vasectomy were identified from 1978 to 2011. Pregnancy and live birth rates, procedure type (bilateral vasovasostomy, bilateral vasoepididymostomy, unilateral vasovasostomy or unilateral vasoepididymostomy), patency rate, time from reversal and spouse age were evaluated. Results We reviewed the records of 3,135 consecutive microsurgical vasectomy reversals. Of these patients 524 (17%) who underwent vasectomy reversal had the same female partner as before vasectomy. Complete information was available on 258 patients (49%), who had a 94% vas patency rate. The clinical pregnancy rate was 83% by natural means compared to 60% in our general vasectomy reversal population (p <0.0001). On logistic regression analysis controlling for female partner and patient ages, years from vasectomy and vasectomy reversal with the same female partner the OR was 2 (p <0.007). Average time from vasectomy was 5.7 years. Average patient and female partner age at reversal was 38.9 and 33.2 years, respectively. Conclusions Outcomes of clinical pregnancy and live birth rates are higher in men who undergo microsurgical vasectomy reversal with the same female partner. These outcomes may be related to a shorter interval from vasectomy, previous fertility and couple motivation.

Original languageEnglish (US)
Pages (from-to)245-247
Number of pages3
JournalJournal of Urology
Volume193
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Vasovasostomy
Vasectomy
Pregnancy Rate
Fertility
Spouses
Motivation
Logistic Models
Regression Analysis
Databases

Keywords

  • infertility
  • male
  • pregnancy
  • sexual partners
  • testis
  • vasovasostomy

ASJC Scopus subject areas

  • Urology

Cite this

Higher Outcomes of Vasectomy Reversal in Men with the Same Female Partner as Before Vasectomy. / Ostrowski, Kevin A.; Polackwich, A. Scott; Kent, Joe; Conlin, Michael; Hedges, Jason; Fuchs, Eugene.

In: Journal of Urology, Vol. 193, No. 1, 01.01.2015, p. 245-247.

Research output: Contribution to journalArticle

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abstract = "Purpose We reviewed fertility outcomes of vasectomy reversal at a high surgical volume center in men with the same female partner as before vasectomy. Materials and Methods We retrospectively studied a prospective database. All vasectomy reversals were performed by a single surgeon (EFF). Patients who underwent microsurgical vasectomy reversal and had the same female partner as before vasectomy were identified from 1978 to 2011. Pregnancy and live birth rates, procedure type (bilateral vasovasostomy, bilateral vasoepididymostomy, unilateral vasovasostomy or unilateral vasoepididymostomy), patency rate, time from reversal and spouse age were evaluated. Results We reviewed the records of 3,135 consecutive microsurgical vasectomy reversals. Of these patients 524 (17{\%}) who underwent vasectomy reversal had the same female partner as before vasectomy. Complete information was available on 258 patients (49{\%}), who had a 94{\%} vas patency rate. The clinical pregnancy rate was 83{\%} by natural means compared to 60{\%} in our general vasectomy reversal population (p <0.0001). On logistic regression analysis controlling for female partner and patient ages, years from vasectomy and vasectomy reversal with the same female partner the OR was 2 (p <0.007). Average time from vasectomy was 5.7 years. Average patient and female partner age at reversal was 38.9 and 33.2 years, respectively. Conclusions Outcomes of clinical pregnancy and live birth rates are higher in men who undergo microsurgical vasectomy reversal with the same female partner. These outcomes may be related to a shorter interval from vasectomy, previous fertility and couple motivation.",
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N2 - Purpose We reviewed fertility outcomes of vasectomy reversal at a high surgical volume center in men with the same female partner as before vasectomy. Materials and Methods We retrospectively studied a prospective database. All vasectomy reversals were performed by a single surgeon (EFF). Patients who underwent microsurgical vasectomy reversal and had the same female partner as before vasectomy were identified from 1978 to 2011. Pregnancy and live birth rates, procedure type (bilateral vasovasostomy, bilateral vasoepididymostomy, unilateral vasovasostomy or unilateral vasoepididymostomy), patency rate, time from reversal and spouse age were evaluated. Results We reviewed the records of 3,135 consecutive microsurgical vasectomy reversals. Of these patients 524 (17%) who underwent vasectomy reversal had the same female partner as before vasectomy. Complete information was available on 258 patients (49%), who had a 94% vas patency rate. The clinical pregnancy rate was 83% by natural means compared to 60% in our general vasectomy reversal population (p <0.0001). On logistic regression analysis controlling for female partner and patient ages, years from vasectomy and vasectomy reversal with the same female partner the OR was 2 (p <0.007). Average time from vasectomy was 5.7 years. Average patient and female partner age at reversal was 38.9 and 33.2 years, respectively. Conclusions Outcomes of clinical pregnancy and live birth rates are higher in men who undergo microsurgical vasectomy reversal with the same female partner. These outcomes may be related to a shorter interval from vasectomy, previous fertility and couple motivation.

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