scholarly journals Factors impacting couples’ decision-making between vasectomy reversal versus sperm retrieval/in vitro fertilization/intracytoplasmic sperm injection

Andrology ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 556-558 ◽  
Author(s):  
P. K. Kavoussi ◽  
K. M. Kavoussi ◽  
K. C. Odenwald ◽  
S. K. Kavoussi
Keyword(s):  
Decision Making ◽  
In Vitro Fertilization ◽  
Intracytoplasmic Sperm Injection ◽  
Sperm Retrieval ◽  
Vitro Fertilization ◽  
Vasectomy Reversal

scholarly journals The best infertility treatment for vasectomized men: assisted reproduction or vasectomy reversal?

2004 ◽  
Vol 59 (5) ◽  
pp. 312-315 ◽  
Author(s):  
Fábio Firmbach Pasqualotto ◽  
Antônio Marmo Lucon ◽  
Bernardo Passos Sobreiro ◽  
Eleonora Bedin Pasqualotto ◽  
Sami Arap
Keyword(s):  
Surgical Treatment ◽  
In Vitro Fertilization ◽  
Intracytoplasmic Sperm Injection ◽  
Reproductive Tract ◽  
Cost Effective ◽  
Sperm Retrieval ◽  
Microsurgical Reconstruction ◽  
Vitro Fertilization ◽  
Vasectomy Reversal

In men with prior vasectomy, microsurgical reconstruction of the reproductive tract is more cost-effective than sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection if the obstructive interval is less than 15 years and no female fertility risk factors are present. If epididymal obstruction is detected or advanced female age is present, the decision to use either microsurgical reconstruction or sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection should be individualized. Sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection is preferred to surgical treatment when female factors requiring in vitro fertilization are present or when the chance for success with sperm retrieval and intracytoplasmic sperm injection exceeds the chance for success with surgical treatment.

scholarly journals Incidence of Y-chromosome microdeletions in children whose fathers underwent vasectomy reversal or in vitro fertilization with epididymal sperm aspiration: a case-control study

2016 ◽  
Vol 14 (4) ◽  
pp. 534-540 ◽  
Author(s):  
Milton Ghirelli-Filho ◽  
◽  
Patricia Leme de Marchi ◽  
Fernanda Abani Mafra ◽  
Viviane Cavalcanti ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Y Chromosome ◽  
Epididymal Sperm ◽  
Sperm Retrieval ◽  
Vitro Fertilization ◽  
Y Chromosome Microdeletions ◽  
Sperm Aspiration ◽  
Vasectomy Reversal ◽  
Control Study

ABSTRACT Objective To evaluate the incidence of Y-chromosome microdeletions in individuals born from vasectomized fathers who underwent vasectomy reversal or in vitro fertilization with sperm retrieval by epididymal aspiration (percutaneous epididymal sperm aspiration). Methods A case-control study comprising male children of couples in which the man had been previously vasectomized and chose vasectomy reversal (n=31) or in vitro fertilization with sperm retrieval by percutaneous epididymal sperm aspiration (n=30) to conceive new children, and a Control Group of male children of fertile men who had programmed vasectomies (n=60). Y-chromosome microdeletions research was performed by polymerase chain reaction on fathers and children, evaluating 20 regions of the chromosome. Results The results showed no Y-chromosome microdeletions in any of the studied subjects. The incidence of Y-chromosome microdeletions in individuals born from vasectomized fathers who underwent vasectomy reversal or in vitro fertilization with spermatozoa recovered by percutaneous epididymal sperm aspiration did not differ between the groups, and there was no difference between control subjects born from natural pregnancies or population incidence in fertile men. Conclusion We found no association considering microdeletions in the azoospermia factor region of the Y chromosome and assisted reproduction. We also found no correlation between these Y-chromosome microdeletions and vasectomies, which suggests that the assisted reproduction techniques do not increase the incidence of Y-chromosome microdeletions.

scholarly journals THREE LAYERS MICROSURGICAL VASOVASOSTOMY VS LOUPE ASSISTED FOR VASECTOMY REVERSAL.

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Muhmmad Waqas ◽  
Mir Abid Jan ◽  
Shahid Hussain ◽  
Kashif Ikram ◽  
Saifullah ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Case Studies ◽  
Blood Supply ◽  
Intracytoplasmic Sperm Injection ◽  
The Other ◽  
Normal Blood ◽  
Vitro Fertilization ◽  
Modern Age ◽  
Vasectomy Reversal

About almost 5- 6% of men who had vasectomy surgery come back to doctors for its reversal in the form of microsurgical vasovasostomy or simplified Loupe Assisted vasovasostomy. Vasovasostomy is a technique which is used to regain fertility in men. This technique, over the years, has gone through many advancements with better results, including one layer, two layers and now three layers microsurgery with equipments and techniques to form a meticulous anastomosis. While, on the other hand, simple Loupe Assisted technique is done using Prolene Stent. During vasovasosotomy it is extremely important to maintain normal blood supply to the tissues and muscle to build a tension free anastomosis. In this modern age of in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI), it has become immensely important to clearly identify the outcomes of both the surgery procedures to void future issues after vasectomy reversal. Little data is present in comparison of the outcomes of both the vasectomy reversal methods. Therefore, this paper is compiled up to throw some light on case studies to better evaluate the best methods of reversal. A study was carried out in the hospital of bahawalpur from January 2017 to January 2019.

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