A P Verhulst1, J W Hoekstra. 1. Department of Urology, Bosch Medicentrum, 's-Hertogenbosch, The Netherlands.
Abstract
OBJECTIVES: To determine whether the occurrence of recanalization depends on the technique of vasectomy. MATERIALS AND METHODS: A survey was conducted among Dutch urologists using a questionnaire in which information was gathered about the surgical procedure, postoperative complications, results of semen analysis after vasectomy, time between vasectomy and occurrence of paternity, results of semen analysis after paternity, performance of revasectomy, results of histological examination of the revasectomy specimen and whether the event had changed the protocol of the urologists. RESULTS: In all, 32 cases of paternity after vasectomy were registered. Surgical techniques and the criteria for a successful vasectomy differed among the responding urologists. There was a difference in time to paternity between men who did and did not correspond with the criteria. In most cases, semen analysis after paternity showed numerous motile sperm. Six men initiated litigation after paternity and the vasectomy protocol was modified by five urologists. CONCLUSION: Paternity consequent on recanalization can occur at any time after bilateral vasectomy and does not depend on the surgical procedure or criteria for sterility. Because of the major consequences of paternity after vasectomy for both the man and urologist, accurate information about the possibility of recanalization should be given to the man beforehand.
OBJECTIVES: To determine whether the occurrence of recanalization depends on the technique of vasectomy. MATERIALS AND METHODS: A survey was conducted among Dutch urologists using a questionnaire in which information was gathered about the surgical procedure, postoperative complications, results of semen analysis after vasectomy, time between vasectomy and occurrence of paternity, results of semen analysis after paternity, performance of revasectomy, results of histological examination of the revasectomy specimen and whether the event had changed the protocol of the urologists. RESULTS: In all, 32 cases of paternity after vasectomy were registered. Surgical techniques and the criteria for a successful vasectomy differed among the responding urologists. There was a difference in time to paternity between men who did and did not correspond with the criteria. In most cases, semen analysis after paternity showed numerous motile sperm. Six men initiated litigation after paternity and the vasectomy protocol was modified by five urologists. CONCLUSION: Paternity consequent on recanalization can occur at any time after bilateral vasectomy and does not depend on the surgical procedure or criteria for sterility. Because of the major consequences of paternity after vasectomy for both the man and urologist, accurate information about the possibility of recanalization should be given to the man beforehand.
Authors: Ashok Agarwal; Sajal Gupta; Rakesh K Sharma; Renata Finelli; Shinnosuke Kuroda; Sarah C Vij; Florence Boitrelle; Parviz Kavoussi; Amarnath Rambhatla; Ramadan Saleh; Eric Chung; Taymour Mostafa; Armand Zini; Edmund Ko; Neel Parekh; Marlon Martinez; Mohamed Arafa; Nicholas Tadros; Jean de la Rosette; Tan V Le; Osvaldo Rajmil; Hussein Kandil; Gideon Blecher; Giovanni Liguori; Ettore Caroppo; Christopher C K Ho; Andrew Altman; Petar Bajic; David Goldfarb; Bradley Gill; Daniel Suslik Zylbersztejn; Juan Manuel Corral Molina; Marcello M Gava; Joao Paulo Greco Cardoso; Raghavender Kosgi; Gökhan Çeker; Birute Zilaitiene; Edoardo Pescatori; Edson Borges; Gede Wirya Kusuma Duarsa; Germar-Michael Pinggera; Gian Maria Busetto; Giancarlo Balercia; Giorgio Franco; Gökhan Çalik; Hassan N Sallam; Hyun Jun Park; Jonathan Ramsay; Juan Alvarez; Kareim Khalafalla; Kasonde Bowa; Lukman Hakim; Mara Simopoulou; Marcelo Gabriel Rodriguez; Marjan Sabbaghian; Haitham Elbardisi; Massimiliano Timpano; Mesut Altan; Mohamed Elkhouly; Mohamed S Al-Marhoon; Mohammad Ali Sadighi Gilani; Mohammad Ayodhia Soebadi; Mohammad Hossein Nasr-Esfahani; Nicolas Garrido; Paraskevi Vogiatzi; Ponco Birowo; Premal Patel; Qaisar Javed; Rafael F Ambar; Ricky Adriansjah; Sami AlSaid; Sava Micic; Sheena E Lewis; Shingai Mutambirwa; Shinichiro Fukuhara; Sijo Parekattil; Sun Tae Ahn; Sunil Jindal; Teppei Takeshima; Ana Puigvert; Toshiyasu Amano; Trenton Barrett; Tuncay Toprak; Vineet Malhotra; Widi Atmoko; Yasushi Yumura; Yoshiharu Morimoto; Thiago Fernandes Negris Lima; Yannic Kunz; Yuki Kato; Yukihiro Umemoto; Giovanni M Colpi; Damayanthi Durairajanayagam; Rupin Shah Journal: World J Mens Health Date: 2022-01-02 Impact factor: 6.494