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<p>Vasectomy reversal (VR) has remained the longstanding gold standard for men seeking paternity following a history of vasectomy. Ever since its initial description, numerous innovations have occurred in the field of reproductive urology to optimize perioperative outcomes. Additional considerations such as preoperative patient and patient’s partner evaluation, medical optimization, and perioperative surveillance protocols are now a paramount component of caring for patients with obstructive azoospermia undergoing vasectomy reversal. Finally, numerous surgical innovations have been described which may lead to increased duration of patency in the postoperative setting. This review aims to provide a comprehensive update on the management of obstructive azoospermia secondary to vasectomy and all salient considerations including preoperative evaluation, intraoperative decision making, surgical technique, and postoperative surveillance.</p>

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Vasectomy reversal: lessons learned to optimize clinical outcomes

  • 期刊论文

  • 发表日期：

    2026年2月2日

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  • Nicholas A. Deebel,
  • Evan Panken,
  • Hannah Moreland,
  • Madeline Snipes,
  • Stephen Tranchina,
  • Kevin Parham,
  • Farah Rahman,
  • Rafael Carrion,
  • Kimberly Waggener,
  • Robert Brannigan

摘要

Vasectomy reversal (VR) has remained the longstanding gold standard for men seeking paternity following a history of vasectomy. Ever since its initial description, numerous innovations have occurred in the field of reproductive urology to optimize perioperative outcomes. Additional considerations such as preoperative patient and patient’s partner evaluation, medical optimization, and perioperative surveillance protocols are now a paramount component of caring for patients with obstructive azoospermia undergoing vasectomy reversal. Finally, numerous surgical innovations have been described which may lead to increased duration of patency in the postoperative setting. This review aims to provide a comprehensive update on the management of obstructive azoospermia secondary to vasectomy and all salient considerations including preoperative evaluation, intraoperative decision making, surgical technique, and postoperative surveillance.