KnE Medicine

ISSN: 2519-125X

The latest conference proceedings on all fields of medicine.

Lost to Follow-up Among Patients who Underwent Vasectomy reversal with Double Layer Microscopic Techniques in 2011-2015

Published date:Oct 04 2016

Journal Title: KnE Medicine

Issue title: The 6th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2016)

Pages:140-144

DOI: 10.18502/kme.v1i1.549

Authors:
Abstract:

Vasectomy already been accepted by the society as easy and effective method for male contraceptive. However, some patients want to restore their fertility status due to divorce or re-marriage cases. Techniques in performing vasectomy reversal are varying with their own advantages and disadvantages. One of the techniques is double layer microscopy vasectomy reversal. We evaluate the success rate of this technique based on the semen analysis. The success rate was good with around 98.5% patients with complete follow up had sperm in their semen analysis[MP1] . However, total success of follow up were very low (5 out of 19 patients) even though the cost of reversal vasectomy was quite expensive (around 3.000$USD). Lost to follow up rate of reversal vasectomy was 26%.

References:

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[2] M. Goldstein, MD DSc, Surgical Management of Male Infertility, in Campbell Walsh Urology, 659–98, 10th edition.


[3] H. Fuse, H. Kimura, and T. Kayatama, Modified One layer Microsurgical vasectomy reversal in vasectomized Patients, J Urol, 451–56, (2004).


[4] S. R. Patel and M. Sigman, Comparison of Outcomes of Vasovasostomy Performed in the Convoluted and Straight Vas Deferens, Journal of Urology, 179, no. 1, 256–259, (2008).


[5] The Practice Committee of the America Society for Reproductive Medicine. Vasectomy Reversal. American Society for Reproductive Medicine Fertility and Sterility. Jun 2006.


[6] I. D. Sharlip, Vasovasostomy: Comparison of two microsurgical techniques, Urology, 17, no. 4, 347–352, (1981).


[7] D. Franken and C. F. R, Infertility after Vasectomy reversal a Case report, Infertility Clinic, Department of Obstetrics and Gynaecology, University of the Orange Free State, Bloemfontein, 1980.


[8] J. Hernandez and E. S. Sabanegh, Repeat vasectomy reversal after initial failure: Overall results and predictors for success, Journal of Urology, 161, no. 4, 1153–1156, (1999).


[9] E. F. Fuchs and R. A. Burt, Vasectomy reversal performed 15 years or more after vasectomy: Correlation of pregnancy outcome with partner age and with pregnancy results of in vitro fertilization with intracytoplasmic sperm injection, Fertility and Sterility, 77, no. 3, 516–519, (2002).


[10] E. Grober and E. J. Shin, Outcomes of Patients, Lost to Follow Up, Following Vasectomy Reversal, The Journal of Urology, 185, p. e916, (2011).


[11] S. Wood, N. Montazeri, Y. Sajjad, S. Troup, C. R. Kingsland, and D. I. Lewis-Jones, Current practice in the management of vasectomy reversal and unobstructive azoospermia in Merseyside et North Wales: A questionnaire-based survey, BJU International, 91, no. 9, 839–843, (2003).


[12] D. S. Crain, J. L. Roberts, and C. L. Amling, Practice patterns in vasectomy reversal surgery: Results of a questionnaire study among practicing urologists, Journal of Urology, 171, no. 1, 311–315, (2004).


[13] A. P. Patel and R. P. Smith, Vasectomy reversal: a clinical update, Asian J Androl, 18, no. 3, 365–371, (2016).

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