Abstract Introduction Vasectomy is a safe and effective contraceptive method with a negligible complication rate; however, its main limitation is its generally irreversible nature. Microsurgical techniques have been developed to enable vasectomy reversal, namely vasovasostomy and epididymovasostomy. Objective To describe the surgical procedures and share our institutional experience. Methods To describe the surgical procedures and share our institutional experience. Results A total of 27 patients were referred to our institution for vasectomy reversal. The mean age was 43.5 ± 6.1 years; 80.8% were married and 19.2% lived in a domestic partnership. The partners’ mean age was 30.5 ± 3.2 years. The mean number of children prior to reversal was 1.96 ± 1.16. The mean interval between vasectomy and reversal was 9.46 ± 4.84 years. Twenty patients (74.07%) underwent vasovasostomy, 4 (14.81%) epididymovasostomy, and 3 (11.11%) a combined epididymovasostomy and vasovasostomy. No intraoperative complications were reported. Postoperative follow-up consultation was attended by 25 patients (89.29%). Semen analysis was performed in 19 patients (76%) approximately 90 days postoperatively: 9 (47.37%) showed normal parameters, 6 (31.58%) asthenozoospermia, 2 (10.53%) oligozoospermia, and 2 (10.53%) persistent azoospermia. Among the 8 patients with asthenozoospermia or oligozoospermia, repeat semen analysis at 6 months post-procedure demonstrated normalization in all cases. No postoperative complications occurred. During follow-up, 3 patients reported pregnancies in their partners. Conclusions Vasectomy reversal is a safe procedure with a very low complication rate. It represents a valid option for vasectomized men wishing to restore fertility and should be considered as an alternative to medically assisted reproduction techniques. Disclosure No
Sabença et al. (Mon,) studied this question.