Vasectomy and vasectomy reversal: a comprehensive approach to the evolving spectrum of care

Brannigan, Robert E.

doi:10.1016/j.fertnstert.2021.04.029

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…Due to the complexity of the procedure, only a minority of urologists will perform the procedure, and financial barriers exist due to this procedure rarely being covered by insurance. 6 VR is achieved through reattachment of the vas deferens either through vasovasostomy, the reconnection of the two severed ends of vas deferens to each other, or vasoepididymostomy, the connection of the vas deferens directly to the epididymis. The microsurgical approach to vasovasostomy shows an increased likelihood of sperm returning to semen and postoperative pregnancy success when compared to a macrosurgical approach.…”

Section: Vasectomy Regret: Operative Options and Fertility Prognosis ...mentioning

confidence: 99%

“…42 The second option for patients with conception-oriented vasectomy regret is sperm extraction for in vitro fertilization (IVF), which might also present a financial burden upon the patient due to the variability of insurance coverage. 6 When comparing conception-directed options, VR is more cost-effective than IVF if neither procedure is covered by insurance. IVF is a more effective option for couples seeking pregnancy post-vasectomy if a female factor of infertility is present in addition to the male's vasectomy.…”

Section: Vasectomy Regret: Operative Options and Fertility Prognosis ...mentioning

confidence: 99%

“…1,4 Despite numbers trending downward, it still appears that approximately half a million men in the United States (US) choose to undergo this procedure annually. 6 Given the permanence and subsequent challenges posed by vasectomy reversal, proper counseling for individuals seeking vasectomies and involved partners is warranted. Critical information to be discussed with patients includes, but is not limited to, other forms of contraception, understanding that the procedure results in permanent sterility, future family intent, risk of pregnancy, and future therapeutic approaches such as sperm extraction for use in in vitro fertilization and vasectomy reversal.…”

Section: Introductionmentioning

confidence: 99%

“…Critical information to be discussed with patients includes, but is not limited to, other forms of contraception, understanding that the procedure results in permanent sterility, future family intent, risk of pregnancy, and future therapeutic approaches such as sperm extraction for use in in vitro fertilization and vasectomy reversal. 2,[6][7][8] Few studies have investigated characteristics of individuals seeking vasectomy reversal along with other predictive factors. One notable factor is age; men seeking vasectomy reversal tended to have undergone the initial procedure earlier than men not seeking reversal.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Vasectomy Regret or Lack Thereof

Anderson

Lucero

Vining

et al. 2022

Health Psychology Research

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Background Vasectomy is a procedure that results in permanent yet reversible sterility and remains a great contraceptive option for many. Previous research studies have highlighted frequency of vasectomy utilization, defining characteristics of individuals who opt for this method, various surgical techniques, and the risks and benefits associated with the procedure. What remains to be defined is why or why not individuals may experience post-vasectomy regret and whether the previous characteristics correlate. Objective The objective of this review is to synthesize information regarding reasons individuals may regret their vasectomy and seek reversal, what options exist for accomplishing the reversal, and patients’ fertility prognosis post-vasovasostomy. Methods This review utilized a combination of secondary and tertiary data analysis across a wide scope of academic databases pertaining to the topic of interest. Results Typically, most males who have sought a vasectomy are satisfied with their decision, however, approximately 6% of this population seeks reversal. Key factors influencing vasectomy regret include age at the time of vasectomy, parental status, pre- and post-operative relationship status, unresolved physical and psychosexual problems, and development of chronic scrotal pain following the procedure. Few options exist for vasectomy reversal including microsurgical reconstructive vasectomy reversal (VR) and sperm extraction for in vitro fertilization. There is no guarantee that fertility will be restored in any case but a major predictive factor for success is the time interval prior to reversal. Conclusion Vasectomy is intended to be a permanent form of contraception; however, a minor chance remains that individuals may experience post-operative regret due to various factors. This warrants proper comprehensive counseling by the patient’s provider regarding benefits and risks, procedural outcomes, opportunities for reversal, and fertility prognosis.

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Section: Vasectomy Regret: Operative Options and Fertility Prognosis ...mentioning

confidence: 99%

Section: Vasectomy Regret: Operative Options and Fertility Prognosis ...mentioning

confidence: 99%