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Microsurgical vasectomy reversal is an effective and cost-effective method of reinstating fertility in a man who has previously had a vasectomy. The current literature indicates that the success rate i.
Postoperative semen parameters have not been shown to be important prognostic factors for pregnancy. To determine the influence of smoking, postoperative semen characteristics and the use of assisted reproductive technologies ART on pregnancy rate in a contemporary series of men undergoing vasectomy reversal in a single hospital in the Netherlands.
Between January and Januaryvasectomy reversals were performed. Of the patients who "Vasectomy reversal sperm presence" be contacted for follow-up, attempted pregnancy and constitute the study group. Semen analysis was performed 3 months after the procedure and at subsequent 3-monthly intervals. Patient characteristics and surgical information were obtained from a computerised database, and follow-up data were collected by telephone interview.
A multivariate Cox regression model was used to discern possible prognosticators with respect to pregnancy outcome. The overall patency rate presence of any sperm with tails, with or without motility was The natural pregnancy rate was than one pregnancy was obtained by In a multivariate model that included, among other factors, time since vasectomy, female age and semen characteristics, only sperm motility was significantly related to natural pregnancy outcome.
A clear and significant association between sperm motility and the probability of conception was found, whereas smoking, female age and time since vasectomy appeared to have no influence on pregnancy outcome in this patient cohort.
This was a relatively small series of patients undergoing vasectomy reversal but appeared to have complete follow-up data on a high proportion of patients. For 16 men it was the second reversal operation.
The lack of association with time since vasectomy, a factor widely considered to be important in the success of vasectomy reversal, has been shown in another recent study and was attributed to good modern surgical techniques. The mean time since vasectomy in this study was 7.
The authors report that smoking was not associated with pregnancy rate after vasectomy. Also the study Vasectomy reversal sperm presence report a higher proportion of motile sperm in non-smokers The main novel finding of the study was that sperm motility was strongly associated with pregnancy rate although other sperm parameters were not.
This finding needs to be replicated in other studies.
Smoking of "Vasectomy reversal sperm presence" male or female partner did not influence the probability of conception. The use of ART accounted for an absolute increase in pregnancy rate of Website by Essendon Creative.
Men who request vasectomy reversal for reasons other than to restore fertility, tively high (50% to 70%) (9), and the presence of antisperm antibodies does not. Materials and Methods: Before vasectomy reversal semen was analyzed and granulomas The presence of palpable granulomas at the vasectomy site did not.
The presence of a sperm granuloma at the vasectomy site generally ensured the presence of good quality sperm in the vas fluid at the time of vasovasostomy.