Factors influencing the outcome of vasectomy reversal
Bagshaw, H.A.; Masters, J.R.; Pryor, J.P.
British Journal of Urology 52(1): 57-60
1980
ISSN/ISBN: 0007-1331 PMID: 7426952 DOI: 10.1111/j.1464-410x.1980.tb02920.xDocument Number: 445941
Vasectomy reversals [56] performed from 1976-1978 were reviewed with reference to factors which might influence the outcome. Spermatozoa appeared in the ejaculate in 51 (91%) and remained in numbers greater than 10 million per ejaculate in 35 (63%). The wives of 14 men conceived. A short delay between vasectomy and its reversal, a short previously resected segment, opalescent fluid from the cut lower end of the vas and the absence of circulating antisperm antibodies were associated with a favorable result. A substantially higher conception rate was achieved when the husband had remained with his original partner. Testicular biopsies [62] obtained at the time of vasectomy reversal were examined by light microscopy and showed no gross impairment of spermatogenesis. Immunofluorescent techniques failed to show the presence of antigen-antibody complexes in 36 testicular biopsies and in 12 vasal stumps.