Vasovasostomy
You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.
| 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 | |
|
Media | |
|
Powerpoint slides on Vasovasostomy | |
|
Evidence Based Medicine | |
|
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
| |
|
Books | |
|
News | |
|
Commentary | |
|
Definitions | |
|
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 | |
|
Causes & Risk Factors for Vasovasostomy | |
|
Continuing Medical Education (CME) | |
|
International | |
|
| |
|
Business | |
|
Experimental / Informatics | |
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [1] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
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.[citation needed]
External links
- Vasectomy Reversal American Urological Association sponsored site.
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
