TY - JOUR
T1 - Vasectomy reversal performed 15 years or more after vasectomy
T2 - Correlation of pregnancy outcome with partner age and with pregnancy results of in vitro fertilization with intracytoplasmic sperm injection
AU - Fuchs, Eugene F.
AU - Burt, Richard A.
N1 - Funding Information:
Supported by the Oregon Health and Science University Foundation.
PY - 2002
Y1 - 2002
N2 - Objective: To document a contemporary series of vasectomy reversals performed in men 15 years or more after vasectomy and to correlate the results with spousal age and results of ICSI for obstructive azoospermia. Setting: University referral center for male infertility. Design: Retrospective analysis of a single surgeon's experience compared with reported ICSI results. Participant(s): One hundred seventy-three men who had vasectomy reversal 15 years or more after vasectomy. Intervention(s): Reversal of vasectomy by vasovasostomy or epididymovasostomy. Main Outcome Measure(s): Correlation of pregnancy results after vasectomy reversal with spousal age and published ICSI results. Result(s): Pregnancy rates for the intervals of 15-19 years, 20-25 years, and >25 years after vasectomy were 49%, 39%, and 25%, respectively. For spousal age <30 years, 30-35 years, 36-40 years, and >40 years, pregnancy rates were 64%, 49%, 32%, and 28%, respectively. The overall pregnancy rate was 43%, which is similar to the pregnancy rate of 40% for ICSI in obstructive azoospermia. Sixty-two percent of the men required a unilateral or bilateral epididymovasostomy. Conclusion(s): Spousal age is an important predictive factor after vasectomy reversal among men who have reversal 15 years or more after vasectomy. Pregnancy rates after vasectomy reversal compare favorably with those obtained with ICSI.
AB - Objective: To document a contemporary series of vasectomy reversals performed in men 15 years or more after vasectomy and to correlate the results with spousal age and results of ICSI for obstructive azoospermia. Setting: University referral center for male infertility. Design: Retrospective analysis of a single surgeon's experience compared with reported ICSI results. Participant(s): One hundred seventy-three men who had vasectomy reversal 15 years or more after vasectomy. Intervention(s): Reversal of vasectomy by vasovasostomy or epididymovasostomy. Main Outcome Measure(s): Correlation of pregnancy results after vasectomy reversal with spousal age and published ICSI results. Result(s): Pregnancy rates for the intervals of 15-19 years, 20-25 years, and >25 years after vasectomy were 49%, 39%, and 25%, respectively. For spousal age <30 years, 30-35 years, 36-40 years, and >40 years, pregnancy rates were 64%, 49%, 32%, and 28%, respectively. The overall pregnancy rate was 43%, which is similar to the pregnancy rate of 40% for ICSI in obstructive azoospermia. Sixty-two percent of the men required a unilateral or bilateral epididymovasostomy. Conclusion(s): Spousal age is an important predictive factor after vasectomy reversal among men who have reversal 15 years or more after vasectomy. Pregnancy rates after vasectomy reversal compare favorably with those obtained with ICSI.
KW - Epididymovasostomy
KW - ICSI
KW - Vasectomy reversal
KW - Vasovasostomy
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U2 - 10.1016/S0015-0282(01)03219-8
DO - 10.1016/S0015-0282(01)03219-8
M3 - Article
C2 - 11872205
AN - SCOPUS:0036187636
SN - 0015-0282
VL - 77
SP - 516
EP - 519
JO - Fertility and sterility
JF - Fertility and sterility
IS - 3
ER -