ReviewFertility and sterility2021
Vasectomy reversal vs. sperm retrieval with in vitro fertilization: a contemporary, comparative analysis.
Review in Fertility and sterility, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 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
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Testicular Biopsies in Adolescent and Adult Andrological Patients: The EAA Clinical Guidelines.Andrology · 2026Guideline
- The pregnancy outcomes in patients with epididymal obstructive azoospermia after microsurgical vasoepididymostomy: a systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- Patency, Pregnancy, and Live Birth Outcomes of Microsurgical Vasovasostomy Com-pared with Vasoepididymostomy for Vasectomy Reversal: A Systematic Review and Me-ta-Analysis.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Clinical Recommendations for the Management of Male Infertility: A Consensus from the Korean Society for Sexual Medicine and Andrology (KSSMA) Clinical Practice Guideline Committee.The world journal of men's health · 2026Review
- Robot-assisted vasovasostomy for vasectomy reversal: long-term outcomes from a high-volume tertiary centre.Journal of robotic surgery · 2026Article
- Article
- Long-term pregnancy outcomes after deferential vessel‑sparing microsurgical vasoepididymostomy.Translational andrology and urology · 2026Article
- Vasectomy reversal: lessons learned to optimize clinical outcomes.International journal of impotence research · 2026Review
- Vasectomy Procedures on the Rise in France From 2010 to 2022.Perspectives on sexual and reproductive health · 2025Article
- The review of the long-term health risks associated with vasectomy.International journal of impotence research · 2025Review
- Comparing vasectomy techniques, recovery and complications: tips and tricks.International journal of impotence research · 2025Review
- [Desire to have children after vasectomy : Vasectomy reversal or assisted reproductive technology?]Urologie (Heidelberg, Germany) · 2024Article
- From Diagnosis to Treatment: Comprehensive Care by Reproductive Urologists in Assisted Reproductive Technology.Medicina (Kaunas, Lithuania) · 2023Review
- Microsurgical Management of Male Infertility: Compelling Evidence That Collaboration with Qualified Male Reproductive Urologists Enhances Assisted Reproductive Technology (ART) Outcomes.Journal of clinical medicine · 2022Review
- Vasectomy Regret or Lack Thereof.Health psychology research · 2022Article
- Reassessing Semen Analysis: Clinical Insights Beyond Sperm Count and Motility.Reproductive medicine and biologyReview
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the primary options available to men who desire fertility after a vasectomy.
designLiterature review.
settingUniversity of Miami Miller School of Medicine. PATIENT(S): Men with a previous vasectomy now seeking fertility. INTERVENTION(S): The two main options to achieve paternity for men following vasectomy include vasectomy reversal (VR) and surgical sperm retrieval with subsequent in vitro fertilization (IVF). MAIN OUTCOME MEASURE(S): We reviewed and compared the important considerations for men deciding between these 2 options, including: obstructive interval, female partner age, antisperm antibodies, male partner age, female infertility factors, and cost. RESULT(S): Both VR and IVF represent reasonable options for the couple seeking fertility after vasectomy. Specific circumstances may favor one modality over another, depending on obstructive interval, possible female fertility factors, female partner age, male partner age, and cost. In the absence of insurance coverage, VR is often more cost-effective than IVF. Alternatively, when a female factor may contribute to infertility in addition to vasectomy, IVF is often the better choice. Antisperm antibodies are unlikely to contribute to infertility following a successful VR. CONCLUSION(S): VR or surgical sperm retrieval with IVF are reasonable options for couples seeking children after vasectomy. Pregnancy rates for both options are overall similar, so prior to pursuing either option, a thorough discussion with a reproductive urologist who possesses microsurgical skills in VR and a reproductive endocrinologist with expertise in IVF is imperative. Making a final choice through shared decision-making while considering these points is ideal.
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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.