Evidence map›Paper›PMID 26975488›Full record

ReviewAsian journal of andrology

Vasectomy reversal: a clinical update.

Abhishek P Patel, Ryan P Smith

Open access · goldAbstract readReview
In one paragraph

Review in Asian journal of andrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
15.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Novel male contraceptives.Future science OA · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Comparing vasectomy techniques, recovery and complications: tips and tricks.International journal of impotence research · 2025
    Review
  9. Article
  10. Review
  11. The landscape of male contraception A narrative review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Review
  12. Article
  13. The uniqueness of on-demand male contraception.Molecular aspects of medicine · 2024
    Review
  14. Article
  15. Non-Hormonal Contraception.Journal of clinical medicine · 2023
    Review
  16. Review
  17. Article
  18. A successful Vasovasostomy operation.Clinical case reports · 2022
    Article
  19. Vasectomy Regret or Lack Thereof.Health psychology research · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Abhishek P Patel
Ryan P SmithDepartment of Urology, University of Virginia, Charlottesville, VA 22908-0422, USA.
University of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vasectomy is a safe and effective method of contraception used by 42-60 million men worldwide. Approximately 3%-6% of men opt for a vasectomy reversal due to the death of a child or divorce and remarriage, change in financial situation, desire for more children within the same marriage, or to alleviate the dreaded postvasectomy pain syndrome. Unlike vasectomy, vasectomy reversal is a much more technically challenging procedure that is performed only by a minority of urologists and places a larger financial strain on the patient since it is usually not covered by insurance. Interest in this procedure has increased since the operating microscope became available in the 1970s, which consequently led to improved patency and pregnancy rates following the procedure. In this clinical update, we discuss patient evaluation, variables that may influence reversal success rates, factors to consider in choosing to perform vasovasostomy versus vasoepididymostomy, and the usefulness of vasectomy reversal to alleviate postvasectomy pain syndrome. We also review the use of robotics for vasectomy reversal and other novel techniques and instrumentation that have emerged in recent years to aid in the success of this surgery.

Indexed as

Patient SelectionChronic PainFamily CharacteristicsFemaleHumansMaleMicrosurgeryPostoperative PainPregnancyPregnancy RatePrognosisTesticular DiseasesUrologic Surgical Procedures, MaleVasovasostomy

Identifiers

PMID26975488
PMCPMC4854082
OpenAlexW2298048376

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.