Related Experiment Video
Updated: May 6, 2026
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Optimizing the Modified No-Scalpel Vasectomy Technique
Published on: October 18, 2024
1.1K
[Vasectomy reversal : Literature review]
1Abteilung für Urologie und Andrologie, Klinik Donaustadt, Langobardenstraße 122, 1220, Wien, Österreich. lisa.kollitsch@gesundheitsverbund.at.
Wiener Medizinische Wochenschrift (1946)
|May 5, 2026
Summary
Men seeking to reverse vasectomy can undergo microsurgical procedures like vasovasostomy (VVS) or vasoepididymostomy (VES). Success rates vary, with VVS generally offering higher patency and pregnancy outcomes than VES.
Area of Science:
- Urology
- Reproductive Medicine
- Surgical Innovation
Background:
- Vasectomy is a common, permanent male contraception method.
- Reversibility is sought by 5-7% of men for life changes or post-vasectomy pain syndrome (PVPS).
Purpose of the Study:
- To review microsurgical techniques for vasectomy reversal.
- To compare the efficacy of vasovasostomy (VVS) and vasoepididymostomy (VES).
- To discuss emerging trends and patient selection for reversal procedures.
Main Methods:
- Review of microsurgical techniques: vasovasostomy (VVS) and vasoepididymostomy (VES).
- Intraoperative assessment of epididymal fluid quality and sperm presence guides technique selection.
- Analysis of reported patency and pregnancy rates for VVS and VES.
Main Results:
- Vasovasostomy (VVS) patency rates are ~88% with ~47% pregnancy rates.
- Vasoepididymostomy (VES) shows lower success rates: ~64% patency and ~31% pregnancy.
- VES is often necessary for suspected epididymal obstruction, especially >10 years post-vasectomy.
Conclusions:
- Conventional microsurgery remains the gold standard for vasectomy reversal.
- Emerging techniques like robot-assisted microsurgery show promise.
- Predictive scoring systems are being developed to improve patient selection and counseling for vasectomy reversal.
