ReviewReproductive medicine and biology2018
Vasovasostomy and vasoepididymostomy: Review of the procedures, outcomes, and predictors of patency and pregnancy over the last decade.
Review in Reproductive medicine and biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Testicular Biopsies in Adolescent and Adult Andrological Patients: The EAA Clinical Guidelines.Andrology · 2026Guideline
- Economic evaluation of sterilization reversal in infertility treatment: A systematic review.PloS one · 2026Pooled it
- Outcomes of microsurgical vasoepididymostomy using intussusception technique: a systematic review and meta‑analysis.Scientific reports · 2023Pooled it
- The pregnancy outcomes in patients with epididymal obstructive azoospermia after microsurgical vasoepididymostomy: a systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- [Vasectomy reversal : Literature review].Wiener medizinische Wochenschrift (1946) · 2026Review
- Long-term pregnancy outcomes after deferential vessel‑sparing microsurgical vasoepididymostomy.Translational andrology and urology · 2026Article
- Epidemiology, Etiopathogenesis, Diagnosis, and Treatment of Male Infertility-Current Trends and Future Directions: A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Vasectomy reversal: lessons learned to optimize clinical outcomes.International journal of impotence research · 2026Review
- Article
- A novel T-shaped incision of the tunica vaginalis for managing adhesions during vasoepididymostomy.Investigative and clinical urology · 2025Article
- Prognostic Factors for Pregnancy and Patency Rates After Microsurgery for Obstruction of the Upper Seminal Tract: A Retrospective Single-surgeon Series of 336 Cases.European urology open science · 2025Article
- [Desire to have children after vasectomy : Vasectomy reversal or assisted reproductive technology?]Urologie (Heidelberg, Germany) · 2024Article
- High ligation of the hernia sac in open nonmesh inguinal herniorrhaphy is an important cause of iatrogenic vas deferens injury.Asian journal of andrology · 2023Article
- Case - Vas deferens injury after herniorrhaphy leading to epididymal blowout in a pediatric patient.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023Article
- A Narrative Review Discussing Vasectomy-Related Impact upon the Status of Oxidative Stress and Inflammation Biomarkers and Semen Microbiota.Journal of clinical medicine · 2023Review
- The Renaissance of Male Infertility Management in the Golden Age of Andrology.The world journal of men's health · 2023Review
- Sperm granulomas: Predictive factors and impacts on patency post vasectomy reversal.Andrologia · 2022Article
- [Testicular sperm extraction in male infertility : Indications, success rates, practical implementation, and possible complications].Der Urologe. Ausg. A · 2021Review
- Male factor infertility: Initial workup and diagnosis in primary care.Canadian family physician Medecin de famille canadien · 2021Article
- Association between the lengths of excised obstructed vas deferens segments at the time of vasovasostomy and surgical outcomes.Turkish journal of urology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the era of improving assisted reproductive technology (ART), patients with obstructive azoospermia (OA) have 2 options: vasal repair or testicular sperm extraction with intracytoplasmic sperm injection. Vasal repair, including vasovasostomy (VV) and vasoepididymostomy (VE), is the only option that leads to natural conception.
methodsThis article reviews the surgical techniques, outcomes, and predictors of postoperative patency and pregnancy, with a focus on articles that have reported over the last 10 years, using PubMed database searches. MAIN
findingsThe reported mean patency rate was 87% and the mean pregnancy rate was 49% for a patient following microscopic VV and/or VE for vasectomy reversal. Recently, robot-assisted techniques were introduced and have achieved a high rate of success. The predictors and predictive models of postoperative patency and pregnancy also have been reported. The obstructive interval, presence of a granuloma, and intraoperative sperm findings predict postoperative patency. These factors also predict postoperative fertility. In addition, the female partner's age and the same female partner correlate with pregnancy after surgery.
conclusionIn the era of ART, the physician should present and discuss with both the patient with OA and his partner the most appropriate procedure to conceive by using these predictors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.