Cost-effectiveness of vasectomy reversal.
In this era of cost-consciousness and containment, it is imperative to examine not only treatment outcomes but also cost of these treatments. With improvements of in vitro fertilization outcome and continued development of less-invasive sperm retrieval methods, physicians and couples must examine all options available after surgical sterilization. Vasectomy reversal remains the gold standard of treatment; however, certain situations may be present in which sperm acquisition/in vitro fertilization may be a better option. A physician's responsibility is to present all options with the pros and cons of each, including cost, to help arrive at an informed decision.
Robb
Paul
P
Department of Obstetrics and Gynecology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Sandlow
Jay I
JI
D053713:Azoospermia / Q000601:surgery; D003362:Cost-Benefit Analysis; D017048:Health Care Costs; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000191:economics* / Q000379:methods; D012662:Semen Preservation / Q000191:economics; D053625:Sperm Retrieval / Q000191:economics; D014481:United States; D014669:Vasovasostomy / Q000191:economics* / Q000379:methods