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Current Sexual Health Reports
Erschienen in: Current Sexual Health Reports 3/2023

01.06.2023

Vasectomy and Vasectomy Reversals—a Review of the Current Literature

verfasst von: Alison E. Schulz, Mustufa Babar, Ari P. Bernstein, Justin Loloi, Valary Raup

Erschienen in: Current Sexual Health Reports | Ausgabe 3/2023

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Abstract

Purpose of review

Vasectomy is a commonly performed outpatient procedure for male contraception with high success and low failure rates. Vasectomy reversal permits couples desiring the ability to conceive naturally after vasectomy to avoid assisted reproductive technology in many cases. Our review discusses current and emerging vasectomy and vasectomy reversal practices, techniques, and outcomes.

Recent Findings

Various vasectomy techniques have been utilized for vas isolation and occlusion, most notably the no-scalpel vasectomy with intraluminal cauterization and fascial interposition. There are few comparative studies between vasectomy techniques, making it difficult to determine the optimal operative approach. Overall compliance rates with post-vasectomy semen analyses are low, complicating study of vasectomy success rates. The most common methods for reversal include vasovasostomy and vasoepididymostomy, each with their own range of techniques. With recent technological advancements, many novel approaches and tools have been employed to improve patency and pregnancy success such as robotic techniques and anti-fibrotic agents. In addition, there are many patient and partner factors that can affect vasectomy and vasectomy reversal outcomes. Vasectomy reversals need to be approached algorithmically with outcomes assessed based on technique and time since vasectomy.

Summary

Further research across multiple institutions is needed comparing outcomes of novel vasectomy and vasectomy reversal to traditional approaches. Emerging non-surgical options for male contraception will play an important role in the practice of urologists in future years.
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Metadaten
Titel
Vasectomy and Vasectomy Reversals—a Review of the Current Literature
verfasst von
Alison E. Schulz
Mustufa Babar
Ari P. Bernstein
Justin Loloi
Valary Raup
Publikationsdatum
01.06.2023
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 3/2023
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-023-00364-z

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