title: The need for further reproductive medical advice after vasectomy reversal.
abstract: The aim of this study was to determine the motivation of patients (n = 73) who had undergone microsurgical refertilization for further treatment (assisted reproduction) and the demand for medical counseling. By an interview, 57/73 patients could be evaluated for motivation, further demand for medical counseling, and the postoperative outcome (patency rate). In all, 60% of the patients who failed the treatment and 33% with a patent anastomosis mentioned interest for further counseling, especially for assisted reproduction. The satisfaction rate after the refertilization was nearly identical in the two groups (67%/64%). Following microscopical vasovasostomies the patency was 92%, which was significantly different from that observed after macroscopical refertilization (55%). In conclusion, the standard for refertilization is the microsurgical technique. Furthermore, there is a strong need for counseling that involves urological-andrological advice given by the same work group, including advisement on the techniques of assisted reproduction that might be necessary following the operative treatment.
authors.affiliation: Urologische Klinik der Universität Essen, Hufelandstrasse 55, D-45127 Essen, Germany. herbert.sperling@uni-essen.de
authors.forename: H
authors.initials: H
authors.lastname: Sperling
authors.forename: G
authors.initials: G
authors.lastname: Lümmen
authors.forename: T
authors.initials: T
authors.lastname: Otto
authors.forename: C
authors.initials: C
authors.lastname: Ender-Sperling
authors.forename: H
authors.initials: H
authors.lastname: Rübben
mesh_terms: D003376:Counseling; D004243:Divorce; D007172:Erectile Dysfunction / Q000209:etiology / Q000523:psychology; D005192:Family Health; D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000523:psychology*; D008297:Male; D008393:Marriage; D008875:Middle Aged; D009042:Motivation; D010149:Postoperative Pain / Q000523:psychology; D015995:Prevalence; D012017:Referral and Consultation; D017211:Treatment Failure; D014669:Vasovasostomy / Q000009:adverse effects* / Q000523:psychology*