title: Vasovasostomy: Macroscopic approach and retrospective review.
abstract: The objective of this study was to review our 5-year experience with macroscopic vasovasostomy. A series of 160 consecutive patients who underwent macroscopic vasovasostomies between 1991 and 1996 at Madigan Army Medical Center were studied. A modified one-layer anastomotic technique using 7-0 or 8-0 Prolene sutures was utilized. Results showed that 87% of patients who underwent bilateral vasectomy reversal showed return of sperm to the ejaculate with a mean progressive sperm motility of 32.2%. Clinical success was measured by successful pregnancies in 50% of patients in whom <5 years had elapsed since vasectomy. The average operative time was 1 hour 15 minutes. Although slightly better results have been obtained using the microscopic approach, vasovasostomy performed under loupe magnification has the advantage of reduced cost, decreased operative time, and a lower operator skill level.
authors.affiliation: Madigan Army Medical Center, Tacoma, Washington, USA.
authors.forename: K M
authors.initials: KM
authors.lastname: Feber
authors.forename: H E
authors.initials: HE
authors.lastname: Ruiz
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008889:Military Personnel; D012189:Retrospective Studies; D014481:United States; D014669:Vasovasostomy / Q000379:methods* / Q000706:statistics & numerical data