Microsurgical vasectomy reversal: contemporary techniques, intraoperative decision making, and surgical training for the next generation.


Journal

Fertility and sterility
ISSN: 1556-5653
Titre abrégé: Fertil Steril
Pays: United States
ID NLM: 0372772

Informations de publication

Date de publication:
03 2019
Historique:
received: 02 01 2019
accepted: 02 01 2019
entrez: 5 3 2019
pubmed: 5 3 2019
medline: 16 7 2019
Statut: ppublish

Résumé

Men seeking fertility after elective sterilization can be treated with a wide array of interventions. Reconstruction of the reproductive tract remains the gold standard and most cost-effective option for the appropriately selected candidate. In the following review, the treatment algorithm for men desiring vasectomy reversal is outlined. Specifically, the current evidence basis for preoperative evaluation, intraoperative decision making, postsurgical management, and emerging advances to optimize outcomes will be discussed. Finally, the important role of microsurgical training and how the field can improve quality of care will be reviewed.

Identifiants

pubmed: 30827518
pii: S0015-0282(19)30009-3
doi: 10.1016/j.fertnstert.2019.01.004
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

444-453

Informations de copyright

Copyright © 2019 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Auteurs

Russell P Hayden (RP)

Center for Reproductive Medicine and Department of Urology, Weill Cornell Medicine, New York, New York.

Philip S Li (PS)

Center for Reproductive Medicine and Department of Urology, Weill Cornell Medicine, New York, New York.

Marc Goldstein (M)

Center for Reproductive Medicine and Department of Urology, Weill Cornell Medicine, New York, New York. Electronic address: mgoldst@med.cornell.edu.

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Classifications MeSH