Vasectomy reversal technique and results
Denton, S.E.; Bohnert, W.W.; Kurtz, C.W.
Arizona Medicine 40(1): 33-36
1983
ISSN/ISBN: 0004-1556 PMID: 6830449 Document Number: 506441
Requests for vasectomy reversal have been increasing. Much has been written about the microscopic reversals. However, considerable training and frequent use of the microscope are necessary to maintain proficiency. The literature was reviewed for the different techniques of vasectomy reversal and results vary more with the surgeon than with the technique used. The authors reviewed 66 consecutive nonmicroscope vasectomy reversals performed in an outpatient facility and noticed a pregnancy rate of 63% of those followed over 1 year. 39 cases were performed macroscopically with stents and 27 cases were performed with 2.5 loupe magnification without stents and the pregnancy rate was 65.5% and 61%, respectively. The authors conclude that the nonmicroscopic techniques for vasectomy reversal have essentially equal results as the microscopic technique and are cost effective. It is suggested that the surgeon quote the results to the patient for the operation he proposes.