Document Detail

Vasectomy reversal in humans.
MedLine Citation:
PMID:  23248768     Owner:  NLM     Status:  Publisher    
Vasectomy is the most common urological procedure in the United States with 18% of men having a vasectomy before age 45. A significant proportion of vasectomized men ultimately request vasectomy reversal, usually due to divorce and/or remarriage. Vasectomy reversal is a commonly practiced but technically demanding microsurgical procedure that restores patency of the male excurrent ductal system in 80-99.5% of cases and enables unassisted pregnancy in 40-80% of couples. The discrepancy between the anastomotic patency rates and clinical pregnancy rates following vasectomy reversal suggests that some of the biological consequences of vasectomy may not be entirely reversible in all men. Herein we review what is known about the biological sequelae of vasectomy and vasectomy reversal in humans, and provide a succinct overview of the evaluation and surgical management of men desiring vasectomy reversal.
Aaron M Bernie; E Charles Osterberg; Peter J Stahl; Ranjith Ramasamy; Marc Goldstein
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Publication Detail:
Journal Detail:
Title:  Spermatogenesis     Volume:  2     ISSN:  2156-5554     ISO Abbreviation:  Spermatogenesis     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-12-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101543545     Medline TA:  Spermatogenesis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  273-278     Citation Subset:  -    
Department of Urology and Institute of Reproductive Medicine; Weill Cornell Medical College; New York-Presbyterian Hospital; New York, NY USA.
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