Vasovasostomy

Jump to: navigation, search
Intervention:
Vasovasostomy
ICD-10 code:
ICD-9 code: 63.82
MeSH D014669
Other codes:

WikiDoc Resources for Vasovasostomy

Articles

Most recent articles on Vasovasostomy

Most cited articles on Vasovasostomy

Review articles on Vasovasostomy

Articles on Vasovasostomy in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Vasovasostomy

Images of Vasovasostomy

Photos of Vasovasostomy

Podcasts & MP3s on Vasovasostomy

Videos on Vasovasostomy

Evidence Based Medicine

Cochrane Collaboration on Vasovasostomy

Bandolier on Vasovasostomy

TRIP on Vasovasostomy

Clinical Trials

Ongoing Trials on Vasovasostomy at Clinical Trials.gov

Trial results on Vasovasostomy

Clinical Trials on Vasovasostomy at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Vasovasostomy

NICE Guidance on Vasovasostomy

NHS PRODIGY Guidance

FDA on Vasovasostomy

CDC on Vasovasostomy

Books

Books on Vasovasostomy

News

Vasovasostomy in the news

Be alerted to news on Vasovasostomy

News trends on Vasovasostomy

Commentary

Blogs on Vasovasostomy

Definitions

Definitions of Vasovasostomy

Patient Resources / Community

Patient resources on Vasovasostomy

Discussion groups on Vasovasostomy

Patient Handouts on Vasovasostomy

Directions to Hospitals Treating Vasovasostomy

Risk calculators and risk factors for Vasovasostomy

Healthcare Provider Resources

Symptoms of Vasovasostomy

Causes & Risk Factors for Vasovasostomy

Diagnostic studies for Vasovasostomy

Treatment of Vasovasostomy

Continuing Medical Education (CME)

CME Programs on Vasovasostomy

International

Vasovasostomy en Espanol

Vasovasostomy en Francais

Business

Vasovasostomy in the Marketplace

Patents on Vasovasostomy

Experimental / Informatics

List of terms related to Vasovasostomy


Vasovasostomy (literally connection of the vas to the vas) is the surgery by which vasectomies are reversed in males.

In most cases the vas deferens can be reattached but, in many cases, fertility is not achieved. There are several reasons for this, including blockages in the vas deferens, and the presence of autoantibodies which disrupt normal sperm activity. If blockage at the level of the epididymis is suspected, a vaso-epidymostomy (connecting the vas to the epididymis) can be performed.

Return of sperm to the ejaculate ranges from roughly 30 to 90 percent, and may depend greatly on the length of time from the vasectomy. Generally, the shorter the interval, the higher the chance of success. The likelihood of pregnancy is somewhat lower (30 to 60 percent), and can depend on female partner factors.

Over half of men who have undergone a vasectomy develop anti-sperm antibodies. The effects of anti-sperm antibodies continue to be debated in the medical literature but, there is agreement that antibodies reduce sperm motility.

The procedure is typically performed by urologists. Most urologists specializing in the field of male infertility perform vasovasostomies using an operative microscope for magnification, under general or regional anesthesia.

Vasovasostomy is typically an out-patient procedure (patient goes home the same day).

Prognosis Determining the prognosis for each patient may involve a pre-operative examination of the vasectomy sites and consideration of the time interval between vasectomy and reversal. If there are no granulomas at either vasectomy site, the prognosis may then be based on the time interval since the vasectomy. If the interval since the vasectomy is less than fifteen years, the prognosis will likely be 70% or better.Template:Fix/category[citation needed]

External links

de:Vasovasostomie

Linked-in.jpg