Vasectomy Reversal: A Seven-Year Experience
Introduction: Since the demand for vasectomy reversal is increasing and many populations in Brazil and other countries show distinct characteristics, this study was carried out as an effort to determine factors and characteristics associated with the success rate of reversal in a population in South...
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Veröffentlicht in: | Urologia internationalis 2009-01, Vol.82 (2), p.170-174 |
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description | Introduction: Since the demand for vasectomy reversal is increasing and many populations in Brazil and other countries show distinct characteristics, this study was carried out as an effort to determine factors and characteristics associated with the success rate of reversal in a population in Southern Brazil. Patients and Methods: We reviewed 29 cases of vasectomy reversal performed over a 7-year period using the single-layer technique under microscopic magnification. Results: Mean patency, pregnancy, and birth rates were 75, 41.7 and 29%, respectively. The patency and pregnancy rates were 92.3 and 38.5%, respectively, for time intervals since vasectomy 10 years. Patency and pregnancy rates were 87.5 and 50%, respectively, for patients who had their vasectomy performed by a urologist, and 50 and 25%, respectively, for those who had their vasectomy performed by a generalist surgeon (p < 0.05). Conclusions: High patency and pregnancy rates are associated with time intervals since vasectomy of |
doi_str_mv | 10.1159/000200794 |
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Patients and Methods: We reviewed 29 cases of vasectomy reversal performed over a 7-year period using the single-layer technique under microscopic magnification. Results: Mean patency, pregnancy, and birth rates were 75, 41.7 and 29%, respectively. The patency and pregnancy rates were 92.3 and 38.5%, respectively, for time intervals since vasectomy <10 years and 63.6 and 45.4%, respectively, for intervals >10 years. Patency and pregnancy rates were 87.5 and 50%, respectively, for patients who had their vasectomy performed by a urologist, and 50 and 25%, respectively, for those who had their vasectomy performed by a generalist surgeon (p < 0.05). Conclusions: High patency and pregnancy rates are associated with time intervals since vasectomy of <10 years and vasectomies performed by urologists. There was no significant difference in the anastomosis time between the first 12 procedures and the next 12 procedures.</description><identifier>ISSN: 0042-1138</identifier><identifier>EISSN: 1423-0399</identifier><identifier>DOI: 10.1159/000200794</identifier><identifier>PMID: 19322004</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Adult ; Aged ; Birth Rate ; Brazil ; Female ; Humans ; Male ; Middle Aged ; Original Paper ; Pregnancy ; Pregnancy Rate ; Retrospective Studies ; Sperm Count ; Sperm Motility ; Spermatogenesis ; Time Factors ; Treatment Outcome ; Vasovasostomy - adverse effects ; Young Adult</subject><ispartof>Urologia internationalis, 2009-01, Vol.82 (2), p.170-174</ispartof><rights>2009 S. Karger AG, Basel</rights><rights>Copyright 2009 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c304t-1caf211eca1ed440b8e75f0791237e5d4f57e40fb16e713bcc9ca974f049e73c3</citedby><cites>FETCH-LOGICAL-c304t-1caf211eca1ed440b8e75f0791237e5d4f57e40fb16e713bcc9ca974f049e73c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19322004$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Busato, Jr, Wilson F.S.</creatorcontrib><title>Vasectomy Reversal: A Seven-Year Experience</title><title>Urologia internationalis</title><addtitle>Urol Int</addtitle><description>Introduction: Since the demand for vasectomy reversal is increasing and many populations in Brazil and other countries show distinct characteristics, this study was carried out as an effort to determine factors and characteristics associated with the success rate of reversal in a population in Southern Brazil. Patients and Methods: We reviewed 29 cases of vasectomy reversal performed over a 7-year period using the single-layer technique under microscopic magnification. Results: Mean patency, pregnancy, and birth rates were 75, 41.7 and 29%, respectively. The patency and pregnancy rates were 92.3 and 38.5%, respectively, for time intervals since vasectomy <10 years and 63.6 and 45.4%, respectively, for intervals >10 years. Patency and pregnancy rates were 87.5 and 50%, respectively, for patients who had their vasectomy performed by a urologist, and 50 and 25%, respectively, for those who had their vasectomy performed by a generalist surgeon (p < 0.05). Conclusions: High patency and pregnancy rates are associated with time intervals since vasectomy of <10 years and vasectomies performed by urologists. There was no significant difference in the anastomosis time between the first 12 procedures and the next 12 procedures.</description><subject>Adult</subject><subject>Aged</subject><subject>Birth Rate</subject><subject>Brazil</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Retrospective Studies</subject><subject>Sperm Count</subject><subject>Sperm Motility</subject><subject>Spermatogenesis</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vasovasostomy - adverse effects</subject><subject>Young Adult</subject><issn>0042-1138</issn><issn>1423-0399</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E1Lw0AQBuBFFFurB-8iOQki0Znsppv1Vkr9gILgF3gKm82sRJOm7qZi_70rDfU0c3jeYXgZO0a4REzVFQAkAFKJHTZEkfAYuFK7bAggkhiRZwN24P0HQMBK7rMBKp6EhBiyi1ftyXRts44e6Zuc1_V1NImewr6I30i7aPazJFfRwtAh27O69nTUzxF7uZk9T-_i-cPt_XQyjw0H0cVotE0QyWikUggoMpKpDe9hwiWlpbCpJAG2wDFJ5IUxymglhQWhSHLDR-xsc3fp2q8V-S5vKm-orvWC2pXPxxIkZjIL8HwDjWu9d2Tzpasa7dY5Qv7XTL5tJtjT_uiqaKj8l30VAZxswKd27-S2oM__AonOZOA</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Busato, Jr, Wilson F.S.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Vasectomy Reversal: A Seven-Year Experience</title><author>Busato, Jr, Wilson F.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c304t-1caf211eca1ed440b8e75f0791237e5d4f57e40fb16e713bcc9ca974f049e73c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Birth Rate</topic><topic>Brazil</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Pregnancy</topic><topic>Pregnancy Rate</topic><topic>Retrospective Studies</topic><topic>Sperm Count</topic><topic>Sperm Motility</topic><topic>Spermatogenesis</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vasovasostomy - adverse effects</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Busato, Jr, Wilson F.S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urologia internationalis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Busato, Jr, Wilson F.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vasectomy Reversal: A Seven-Year Experience</atitle><jtitle>Urologia internationalis</jtitle><addtitle>Urol Int</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>82</volume><issue>2</issue><spage>170</spage><epage>174</epage><pages>170-174</pages><issn>0042-1138</issn><eissn>1423-0399</eissn><abstract>Introduction: Since the demand for vasectomy reversal is increasing and many populations in Brazil and other countries show distinct characteristics, this study was carried out as an effort to determine factors and characteristics associated with the success rate of reversal in a population in Southern Brazil. Patients and Methods: We reviewed 29 cases of vasectomy reversal performed over a 7-year period using the single-layer technique under microscopic magnification. Results: Mean patency, pregnancy, and birth rates were 75, 41.7 and 29%, respectively. The patency and pregnancy rates were 92.3 and 38.5%, respectively, for time intervals since vasectomy <10 years and 63.6 and 45.4%, respectively, for intervals >10 years. Patency and pregnancy rates were 87.5 and 50%, respectively, for patients who had their vasectomy performed by a urologist, and 50 and 25%, respectively, for those who had their vasectomy performed by a generalist surgeon (p < 0.05). Conclusions: High patency and pregnancy rates are associated with time intervals since vasectomy of <10 years and vasectomies performed by urologists. There was no significant difference in the anastomosis time between the first 12 procedures and the next 12 procedures.</abstract><cop>Basel, Switzerland</cop><pmid>19322004</pmid><doi>10.1159/000200794</doi><tpages>5</tpages></addata></record> |
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source | MEDLINE; Karger Journals Complete; Alma/SFX Local Collection |
subjects | Adult Aged Birth Rate Brazil Female Humans Male Middle Aged Original Paper Pregnancy Pregnancy Rate Retrospective Studies Sperm Count Sperm Motility Spermatogenesis Time Factors Treatment Outcome Vasovasostomy - adverse effects Young Adult |
title | Vasectomy Reversal: A Seven-Year Experience |
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