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Challenges in completing a successful vasectomy reversal
Author(s) -
Andino Juan J.,
Gonzalez Daniel C.,
Dupree James M.,
Marks Sheldon,
Ramasamy Ranjith
Publication year - 2021
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.14066
Subject(s) - vasovasostomy , vasectomy , vasectomy reversal , medicine , fertility , family planning , population , gynecology , research methodology , environmental health
Although a wide array of interventions exist for men seeking fertility after vasectomy, up to 6% of them will elect for a vasectomy reversal. While the widespread adoption of telemedicine promises convenience and improved access, lack of ability to do a physical examination may hinder appropriate counselling. Although vasectomy reversal is successfully completed in most of the men either with a vasovasostomy or a vasoepididymostomy, there could be various reasons for the inability to successfully complete the operation. Our commentary outlines the reasons why a vasectomy reversal is not possible or successful. We also discuss a pre‐operative management algorithm in men seeking vasectomy reversal to ensure appropriate counselling with a thorough pre‐operative history, physical examination and on occasion, hormonal evaluation.