Document Detail

Experience wiht vasovasostomy: operative technique and results.
MedLine Citation:
PMID:  465959     Owner:  NLM     Status:  MEDLINE    
Between 1972 and 1977 vasovasostomy to reverse a previous vasectomy for contraception has been attempted in 27 cases. The procedure was abandoned as a technical impossiblity in only 1 case. The first 17 have been studied and in these there have been 11 pregnancies, 10 of which have already come to term with the birth of normal children, including one set of twins. Of the remainder, 2 are known to have oligozoospermia and 4 have been lost to follow-up although 2 of these were euspermic when last heard of. In spite of the encouraging results it is considered that there are no grounds for altering the present basis of vasectomy counselling in which the operation is described as likely to be irreversible.
In an attempt to determine both technical and functional success of vasovasostomy 27 operations for reversal of vasectomy between 1972 and 1977 were studied. 17 were considered a review group because 18 months or more had elapsed since the vasovasostomy was performed. The mean age of men at the time of vasectomy was 32.3 years ranging between 28 and 45 years of age. At the time of the vasovsaostomy the range was 30 to 49 years with mean age 36.1 years. Intervals between vasectomy and vasovasostomy averaged 46.4 months. Important elements in the operation appeared to be the monofilament nylon splint left in situ for 5 postoperative days plus strict bedrest for 7 days after the operation to minimize strain on the anastomosis and the risk of sperm leakage into surrounding tissue. Seminal analysis occurred 2 months after the operation and at various times thereafter. Sperm counts were initially low in density with some motility impairment. Later specimens showed increased density, viability and motility. Of the review group there was a 64.7% (11 pregnancies) functional success. The remaining men are currently under observation. The mean interval between vasectomy and vasovasotomy among the 11 pregnancies was 39.8 months. An average of 10.4 months elapsed between the vasectomy reversal operation and conception. The authors contend that although functional success rates appear encouraging prospective vasectomy clients should consider the operation a permanent means of birth control.
I L Jenkins; N J Blacklock
Related Documents :
21443659 - Additive improvement induced by bezafibrate in patients with primary biliary cirrhosis ...
20170289 - The effects of severity of oligozoospermia on intracytoplasmic sperm injection (icsi) c...
20588049 - Prospective evaluation of the outcome of velopharyngeal insufficiency therapy after sim...
21152059 - Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in s...
21492919 - Risk factors for male slings: a comparative study of two techniques.
9664199 - Recognition and management of sinusitis.
9254089 - Absence of bleeding complications in patients undergoing cortical surgery while receivi...
19294389 - Triple therapy in refractory detrusor overactivity: a preliminary study.
24071389 - Diagnostic value of ultrasound and computed tomographic arthrography in diagnosing ante...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of urology     Volume:  51     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1979 Feb 
Date Detail:
Created Date:  1979-10-26     Completed Date:  1979-10-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  43-5     Citation Subset:  IM; J    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Follow-Up Studies
Middle Aged
Sterilization Reversal / methods*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Conservative treatment of carcinoma of the penis.
Next Document:  Oestrogen-induced renal carcinoma.