Vasectomy reversal versus IVF with sperm retrieval: which is better?

@article{Shridharani2010VasectomyRV,
  title={Vasectomy reversal versus IVF with sperm retrieval: which is better?},
  author={A. Shridharani and J. 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… Expand
Predictive factors for sperm retrieval and sperm injection outcomes in obstructive azoospermia: Do etiology, retrieval techniques and gamete source play a role?
TLDR
A review of obstructive azoospermia and assisted reproduction techniques is presented, highlighting the most relevant aspects of the decision-making process for use in clinical practice. Expand
Clinical Andrologists: Do We Really Need Them in the Era of ART?
Infertility is on a rise, and so is the availability of assisted reproductive technique (ART) centres. The sole aim of these centers is to help these unfortunate couples achieve pregnancy. Hence, theExpand
Surgical techniques for the management of male infertility.
TLDR
Clinicians treating infertility should advocate for couple-based therapy, and require that both partners have a thorough evaluation and an informed discussion before undergoing specific surgical therapies. Expand
Vasectomy in Male Contraception and its Reversal
Abstract Vasectomy is an important option for male contraception. It is highly effective, but many questions about patient selection and information, surgical technique, postoperative follow-up, andExpand
Current status of vasectomy reversal
TLDR
Although the basic principles of microsurgical vasovasostomy have been established since the late 1970s, there have since been numerous technical innovations to improve the delicate operation and promising new technical modifications, particularly for vasoepididymostomy, have been described. Expand
Andrology - reproductive years and beyond.
  • E. Chung
  • Medicine
  • Australian family physician
  • 2012
TLDR
There is increased evidence for the role of microsurgery in sperm retrieval, varicocelectomy and vasectomy reversal in men seeking paternity, and therole of testosterone replacement therapy and erectile dysfunction. Expand
Vasectomy reversal semen analysis: new reference ranges predict pregnancy.
TLDR
Normal ranges of semen parameters as established by the 2010 WHO standards may not adequately predict post-vasectomy reversal fertility. Expand
Challenges in completing a successful vasectomy reversal
TLDR
A pre‐operative management algorithm is discussed in men seeking vasectomy reversal to ensure appropriate counselling with a thorough pre-operative history, physical examination and on occasion, hormonal evaluation. Expand
When is azoospermic infertility treatable without intracytoplasmic sperm injection?
Infertility with azoospermia requires a diligent search for reversible factors and treatment to restore natural fertility, even though most cases are due to untreatable primary spermatogenic failureExpand
The management of obstructive azoospermia: a committee opinion.
  • Medicine
  • Fertility and sterility
  • 2019
TLDR
This paper replaces the ASRM documents titled "Sperm retrieval for obstructive azoospermia" and "The management of infertility due to obstructives azoOSpermia," last published in 2008. Expand
...
1
2
3
...

References

SHOWING 1-10 OF 53 REFERENCES
The best infertility treatment for vasectomized men: assisted reproduction or vasectomy reversal?
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 theExpand
Surgery or assisted reproduction? A decision analysis of treatment costs in male infertility.
TLDR
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. Expand
A decision analysis of treatments for obstructive azoospermia.
TLDR
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. Expand
Results in the United States with Sperm Micro-Aspiration Retrieval Techniques and Assisted Reproductive Technologies
AbstractImproved methods of urological microsurgery and of various assisted reproductive technologies have resulted in the ability to achieve pregnancies with sperm aspirated microsurgically from menExpand
Reassessing reconstruction in the management of obstructive azoospermia: reconstruction or sperm acquisition?
TLDR
The risks and benefits of both types of therapies and the impact of in vitro fertilization-related indirect costs, specifically that driven by multiple gestation pregnancies, is significant. Expand
Should vasectomy reversal be performed in men with older female partners?
TLDR
Vasectomy reversal appears to be cost-effective to achieve fertility in men with ovulating partners older than 37 years. Expand
Fertility options after vasectomy: a cost-effectiveness analysis.
TLDR
The most cost-effective approach to treatment of postvasectomy infertility is microsurgical vasectomy reversal, which has the highest chance of resulting in delivery of a child for a single intervention. Expand
Clinical review 87: In vitro fertilization for male factor infertility.
TLDR
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. Expand
Use of surgical sperm retrieval in azoospermic men: a meta-analysis.
TLDR
Meta-analysis of published data confirms that etiology of azoospermia and cryopreservation of surgically retrieved sperm impacts on ICSI outcome, and allows us to make several recommendations for clinical practice. Expand
Microsurgical Vasovasostomy versus Microsurgical Epididymal Sperm Aspiration/Testicular Extraction of Sperm Combined with Intracytoplasmic Sperm Injection
TLDR
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. Expand
...
1
2
3
4
5
...