Vasectomy reversal versus IVF with sperm retrieval: which is better?
@article{Shridharani2010VasectomyRV, title={Vasectomy reversal versus IVF with sperm retrieval: which is better?}, author={Anand Shridharani and Jay I Sandlow}, journal={Current Opinion in Urology}, year={2010}, volume={20}, pages={503–509} }
Purpose of review This paper will describe why this review is timely and relevant. Over the past two decades, treatment options for couples with reconstructible obstructive azoospermia have improved tremendously. Advances in assisted reproductive technologies (ART), specifically sperm retrieval techniques for intracytoplasmic sperm injection coupled with in-vitro fertilization, as well as refinements in microsurgical reconstruction have led to improved outcomes and cost-effectiveness. Providing…
31 Citations
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References
SHOWING 1-10 OF 53 REFERENCES
The best infertility treatment for vasectomized men: assisted reproduction or vasectomy reversal?
- MedicineRevista do Hospital das Clinicas
- 2004
In men with prior vasectomy, microsurgical reconstruction of the reproductive tract is more cost-effective than sperm retrieval with in vitro fertilization and intracytoplasmic sperm injection if the…
Surgery or assisted reproduction? A decision analysis of treatment costs in male infertility.
- MedicineThe Journal of urology
- 2005
A decision analysis based comparison of ART and classic surgical therapy suggests that varicocelectomy and vasectomy reversal are the most economical treatments in many cases of infertility due to these lesions.
A decision analysis of treatments for obstructive azoospermia.
- MedicineHuman reproduction
- 2008
Vasectomy reversal appears more cost-effective than percutaneous TESE and MESA for treatment of obstructive azoospermia when the impact of indirect costs is considered and the absolute cost-effectiveness of all therapies improved over time.
Reassessing reconstruction in the management of obstructive azoospermia: reconstruction or sperm acquisition?
- MedicineThe Urologic clinics of North America
- 2008
Should vasectomy reversal be performed in men with older female partners?
- MedicineThe Journal of urology
- 2000
Fertility options after vasectomy: a cost-effectiveness analysis.
- MedicineFertility and sterility
- 1997
Clinical review 87: In vitro fertilization for male factor infertility.
- Medicine, BiologyThe Journal of clinical endocrinology and metabolism
- 1997
For couples with male factor infertility, careful evaluation and treatment of the man should be considered before assisted reproduction, including ICSI, and several important questions remain with regard to IVF-ICSI.
Use of surgical sperm retrieval in azoospermic men: a meta-analysis.
- MedicineFertility and sterility
- 2004
Microsurgical Vasovasostomy versus Microsurgical Epididymal Sperm Aspiration/Testicular Extraction of Sperm Combined with Intracytoplasmic Sperm Injection
- MedicineEuropean Urology
- 2000
Even in the era of ICSI, microsurgical VVS represents the standard approach for obstructive azoospermia following vasectomy and MESA/ICSI should be reversed for patients who are not amenable for micros surgical reconstruction based on a cost–benefit analysis.