Vasovasostomy. a clinical study with 10 years' follow-up
Pai, M.G.; Sampath Kumar, B.T.; Kaundinya, C.; Bhat, H.S.
Fertility and Sterility 24(10): 798-801
1973
ISSN/ISBN: 0015-0282 PMID: 4742001 DOI: 10.1016/s0015-0282(16)39976-9Document Number: 490445
36 cases of vas reconstruction after vasectomy are reported with 10 years of follow-up study. 83% of the vasectomies had been done for family planning purposes and the major reason for wanting vas reconstruction was the desire for more children. The majority of the patients were between 31 and 40 years of age and all were sexually active. After careful examination for active spermatogenesis and vas patency, end-to-end anastomosis was performed, usually using a splint. Bed rest for at least 5 days postoperatively was recommended. Semen samples were analyzed for motile sperm at 3-month intervals. 70% of the 30 patients undergoing vasovasostomy showed spermatozoa in their semen, usually within 1 year. Only 1 of the 6 epididymovasostomy patients showed spermatozoa and the poor results associated with this procedure may be due to previous postvasectomy inflammation. No correlation was found between the interval between vasectomy and anastomosis, age and splint use, and the success of the reconstruction. 5 of the 14 patients with normal sperm counts produced normal pregnancies.