Predicting Reversal Success

  • Sheldon H. F. Marks


Predicting the success of an individual’s vasectomy reversal is difficult and cannot be done accurately preoperatively. Most experts agree that the success of a reversal is primarily dependent on the skill and expertise of the microsurgeon, even many years from vasectomy. The highest success rates with patency up to 99.5% and with the fewest complications are achieved by the most experienced. There are many surgeon and patient variables, some of which are fixed and others modifiable, that can impact on the success of the reversal. It is important to know and address many of these surgeon-related and patient factors that can have potential impact on the success of the reversal.


Reversal success Vasovasostomy Vasoepididymostomy Microsurgery Obstructive interval Antisperm antibodies Sperm granuloma Testosterone Surgeon variables Patient variables 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sheldon H. F. Marks
    • 1
  1. 1.University of Arizona College of MedicineInternational Center Vasectomy ReversalTucsonUSA

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