Simplifying vasectomy reversal without compromising outcomes: a single-surgeon series.

ABSTRACT:

Background

In vasovasostomy (VV) surgery, the micro-surgical technique has consistently been shown to provide superior outcomes to both macroscopic and loupe-assisted techniques, with large studies showing overall patency rates of ~86% and pregnancy rates of ~52%. However, the question of whether a single- or double-layer anastomosis offers the best outcomes remains contentious, and despite the popularity of the two-layer technique, a meta-analysis suggests little difference in outcomes. This study records the outcomes of a single-surgeon series of a simplified single-layer technique, along with the comparative outcomes and predictive factors.

Methods

A retrospective analysis of 237 consecutive patients undergoing microsurgical vasectomy reversal between 2010 and 2022 in a s

SUBMITTER: Davis PG 

PROVIDER: S-EPMC11291417 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature