Reversal of vasectomy with microsurgery
Ferreira, M.C.
Amb Revista da Associacao Medica Brasileira 27(3): 80-82
1981
ISSN/ISBN: 0102-843X PMID: 7025120 Document Number: 180676
Microsurgery techniques have greatly increased the possibility of success in reversal of vasectomy. This paper presents the results of 21 operations of vas reanastomosis conducted on men aged 22-53, who had been vasectomized for an average of 2-7 years. The operation was always done under general anesthesia and reconstruction was always bilateral. There were no surgical complications, and evaluation of results was done by spermogram at 30 and at 120 days after the operation. Spermograms were normal in 18 patients, or 85% of cases, and pregnancy occurred in 15, or 75% of cases. In 3 cases spermograms were normal but no pregnancy had occurred 1 year after the operation. There were 3 cases of oligospermia. The importance of the age of the patients and of the length of time between vasectomy and reversal as factors influencing the success of the operation is still not very clear.