Maldonado-Ávila M

Language: Spanish
References: 31
Page: 97-102
PDF size: 324.59 Kb.

ABSTRACT

Vasectomy is a form of male contraception that consists of tying or removing a segment of each vas deferens so that sperm cannot pass from the testes to the ejaculatory ducts. Around 6% of vasectomy patients will ask for vasectomy reversal.
Objective: The purpose of this article is to know the perioperative evaluation of patients requesting vasovasostomy and to review the different microsurgical techniques that can be developed in this type of procedure as well as to provide specific results from the Hospital General de México.
Results: According to various reports by different authors in the medical literature, vasovasostomy is a feasible technique for re-establishing fertility in the male after vasectomy. Optimum results are obtained with microsurgical techniques and success prognosis is inversely proportional to the amount of time that has passed since vasectomy. The possibility of cryopreservation should be considered at the time of surgery. Regarding the results of the present article, mean time since vasectomy was 5.8 years. Spermatozoa were present in postoperative semen analysis in 82% of patients that underwent surgery.

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