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Updated: Feb 8, 2026
Optimizing the Modified No-Scalpel Vasectomy Technique
Published on: October 18, 2024
Reconsidering vasectomy reversal over assisted reproduction in older couples
Akash A Kapadia1, Marcus Anthony1, Ann Martinez Acevedo1
1Department of Urology, Oregon Health & Science University, Portland, Oregon.
Objective:
To provide pregnancy and live birth rates from a contemporary series of vasectomy reversals in men with female partners aged ≥35 years and to correlate the results with IVF.
Setting:
Tertiary academic referral center.
Design:
Retrospective comparative study of prospectively collected database.
Patient(S):
Two hundred forty-six men who underwent vasectomy reversal for fertility with female partner aged ≥35 years.
Intervention(S):
Vasovasostomy or vasoepididymostomy.
Main Outcome Measure(S):
Correlation of pregnancy and live birth rate of this cohort by age groups with most recently published pregnancy and live birth rate per IVF cycle.
Result(S):
One hundred thirty-six men who underwent vasectomy reversal between 2006 and 2014 met our inclusion criteria. Overall pregnancy and live birth rates were 35% and 30%, respectively. Subgroup analysis by female age groups (35-37, 38-40, >40 years) demonstrated pregnancy and live birth rates comparable to those per IVF cycle by age groups according to a recently published (2015) national report.
Conclusion(S):
Vasectomy reversal should be strongly considered in men with a partner aged ≤40 years. Additionally, vasectomy reversal can be considered in carefully selected patients even with a partner aged >40 years.
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