OBJECTIVES: We currently see an increase of demand of vasectomy reversion, mainly due to the wish of recovering fertility. METHODS: We review 21 cases of vasovasostomy performed at our department over the last 5 years with the single layer technique under optical magnification, comparing our results with those from bibliography for both vasovasostomy and in vitro fecundation techniques used in patients with obstructive azoospermia, specifically intracytoplasmic spermatozoids injection (ICSI). RESULTS: Success rates obtained for permeability, pregnancy, and births were 80%, 33%, and 26.66% respectively. CONCLUSIONS: Our results in terms of pregnancies are equivalent to those obtained by ICSI. These data, together with the disadvantage of greater rates of multiple pregnancies associated with in vitro fecundation techniques, moved us to choose vasovasostomy as the initial option for treatment of male infertility secondary to vasectomy.
OBJECTIVES: We currently see an increase of demand of vasectomy reversion, mainly due to the wish of recovering fertility. METHODS: We review 21 cases of vasovasostomy performed at our department over the last 5 years with the single layer technique under optical magnification, comparing our results with those from bibliography for both vasovasostomy and in vitro fecundation techniques used in patients with obstructive azoospermia, specifically intracytoplasmic spermatozoids injection (ICSI). RESULTS: Success rates obtained for permeability, pregnancy, and births were 80%, 33%, and 26.66% respectively. CONCLUSIONS: Our results in terms of pregnancies are equivalent to those obtained by ICSI. These data, together with the disadvantage of greater rates of multiple pregnancies associated with in vitro fecundation techniques, moved us to choose vasovasostomy as the initial option for treatment of male infertility secondary to vasectomy.
Authors: Luis Otávio Amaral Duarte Pinto; Charles Alberto Villacorta de Barros; Anderson Bentes de Lima; Deivid Ramos Dos Santos; Herick Pampolha Huet de Bacelar Journal: Int Braz J Urol Date: 2019 Sep-Oct Impact factor: 1.541