Vasectomy reversal: is the microscope really essential?

S. S. Gopi, N. H. Townell

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Objective: To evaluate the outcomes of bilateral vasectomy reversal procedure in relation to the macroscopic technique, surgical time and duration of obstructive interval. Materials and methods: We performed a retrospective study over a twelve-year period using a macroscopic technique. All cases of vasectomy reversal were consecutive and performed by the same surgeon. The procedure was performed using a single layer, spatulate and to end anastomosis technique using 6 × 6-0 prolene. No loupe magnification was used. Results: The median age of the men was 42 years (range 30-56). The median obstructive interval in years was 8.5 years (range 2-23). The procedure was a day case and the median surgical time under general anaesthertic was 75 minutes (range 45-90). None of the patients required hospital admission following discharge. 63 of the 70 patients had positive patency test postoperatively (90 %). The sperm count was more than twenty million/ml. The pregnancy rate was 54 % and the miscarriage rate was 7.1%. Conclusion: The outcomes of matroscopic vasectomy reversal performed by an experienced surgeon can have a high success rate using the macroscopic single layer spatulate end to end anastomosis technique. This technique is easy to learn compared to the learning curve involved in microsurgery and is an effective means of "re- establishing" fertility in vasectomised men.
    Original languageEnglish
    Pages (from-to)18-20
    Number of pages3
    JournalScottish Medical Journal
    Volume52
    Issue number2
    DOIs
    Publication statusPublished - May 2007

    Keywords

    • Adult
    • Female
    • Humans
    • Male
    • Microscopy
    • Microsurgery
    • Middle Aged
    • Pregnancy
    • Pregnancy Rate
    • Retrospective Studies
    • Treatment Outcome
    • Vasovasostomy

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