Long-term management of vasovasostomy patients.

Abstract:

:Follow-up of 54 patients undergoing modified single-layer bilateral vasovasostomies are presented with attention to semen quality, pregnancy rates, and postoperative findings potentially inhibiting fertility. The technical success rate was 98%, but 3-month semen analyses varied from "poor" (less than 20(6)/ml; greater than 50% normal motility) of 20% to "excellent" (greater than 26(6)/ml; greater than 50% normal motility) of 35% without effect on long-term pregnancy rates, 50% and 54.5%, respectively. Other factors, such as sperm clumping, prostatitis, and immunologic interference, appear to decrease motility. Close follow-up with attention to factors affecting fertility other than simple concentration and motility are rewarding. :Follow-up of 54 patients undergoing modified, single layer bilateral vasovasostomies are presented with attention to semen quality, pregnancy rates, and postoperative findings potentially inhibiting fertility. The technical success rate was 98%, but 3 month semen analyses varied from poor of 20% to excellent of 35% without effect on longterm pregnancy rates, 50% and 54.5%, respectively. Other factors, such as sperm clumping, prostatitis, and immunologic interference, appear to decrease motility. Close follow-up with attention to factors affecting fertility other than simple concentration and motility are rewarding.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Weinerth JL

doi

10.1016/s0015-0282(16)47789-7

subject

Has Abstract

pub_date

1984-04-01 00:00:00

pages

625-8

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)47789-7

journal_volume

41

pub_type

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