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World J Clin Urol. Mar 24, 2015; 4(1): 48-55
Published online Mar 24, 2015. doi: 10.5410/wjcu.v4.i1.48
Vasectomy reversal: A review of the evaluation, techniques, and outcomes
Parviz K Kavoussi
Parviz K Kavoussi, Department of Reproductive Urology, Austin Fertility and Reproductive Medicine, Austin, TX 78745, United States
Author contributions: Kavoussi PK performed literature review, evaluated level of evidence, and wrote the paper.
Conflict-of-interest: The author has no relevant conflict of interest to this work but is a speaker for Abbvie and Auxilium pharmaceuticals.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Parviz K Kavoussi, MD, FACS, Reproductive Urologist, Department of Reproductive Urology, Austin Fertility and Reproductive Medicine, 4303 James Casey Street, Austin, TX 78745, United States. pkavoussi@austinfertility.com
Telephone: +1-512-4441414 Fax: +1-512-4411202
Received: December 15, 2014
Peer-review started: December 17, 2014
First decision: January 8, 2015
Revised: January 20, 2015
Accepted: February 10, 2015
Article in press: February 12, 2015
Published online: March 24, 2015
Abstract

This review highlights the evaluation and treatment of men who have undergone vasectomy and desire vasectomy reversal to father children. For surgeons offering this treatment, the appropriate evaluation and treatment are crucial for acceptable outcomes. Although variations on surgical approaches have evolved over the years, one constant is the need for a high level of training and skill in microsurgical techniques.

Keywords: Vasoepididymostomy, Reversal, Vasectomy, Microsurgery, Vasovasostomy

Core tip: This review highlights the evaluation and treatment of men who have undergone vasectomy and desire vasectomy reversal to father children. For surgeons offering this treatment, appropriate evaluation and treatment are crucial for acceptable outcomes. Although variations on surgical approaches have evolved over the years, one constant is the need for a high level of training and skill in microsurgical techniques.