Microsurgical vasectomy reversal: contemporary techniques, intraoperative decision making, and surgical training for the next generation

In this review the treatment algorithm for vasectomy reversal is discussed, including preoperative evaluation, intraoperative considerations, and postprocedure management.

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Volume 111, Issue 3, Pages 444–453


Russell P. Hayden, M.D., Philip S. Li, M.D., Marc Goldstein, M.D.


Men seeking fertility after elective sterilization can be treated with a wide array of interventions. Reconstruction of the reproductive tract remains the gold standard and most cost-effective option for the appropriately selected candidate. In the following review, the treatment algorithm for men desiring vasectomy reversal is outlined. Specifically, the current evidence basis for preoperative evaluation, intraoperative decision making, postsurgical management, and emerging advances to optimize outcomes will be discussed. Finally, the important role of microsurgical training and how the field can improve quality of care will be reviewed.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.