Five percent of the more than 500,000 men who undergo vasectomy each year subsequently change their mind. Those patients now have two options to restore their fertility: vasectomy reversal and sperm harvesting combined with it vitro fertilization (IVF). Each procedure has its advantages and drawbacks, but vasectomy reversal is the only option that allows a couple to conceive naturally and is also the most cost-effective alternative for family building after vasectomy
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Mini-Incision Microsurgical Vasoepididymostomy: A New Surgical Approach
Local Anesthesia Irrigation Technique Reduces Post-Operative Pain Following Vasectomy Reversal
Spermatic cord blocks delivered via needles have increased risks of hematoma or accidental injury to the vas. We evaluated a novel needleless approach in terms of post-operative pain and time spent in recovery in a retrospective manner. Our goal was show improved pain control using this novel method.
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Use Of Testicular Sperm/ICSI Yields High Pregnancy Rates In Couples Who Failed Multiple IVF Cycles Due To High Levels Of Sperm DNA Fragmentation
Sperm DNA damage (fragmentation) is a known cause of male infertility and has been shown to negatively impact pregnancy outcomes in couples undergoing In-Vitro Fertilization (IVF) with Intracytoplasmic Sperm Injection (ICSI). Previous studies have shown that sperm DNA damage may occur after the sperm have exited the testicle and levels of DNA fragmentation are lower in testicular sperm than in ejaculated sperm. The object of this study was to evaluate the results of IVF/ICSI using testicular sperm in couples that failed to achieve pregnancy on prior IVF cycles and had high levels of sperm damage as a cause of their infertility.
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Vasectomy Reversal For Post-Vasectomy Pain Syndrome: A Ten Year Experience
Post-vasectomy pain syndrome is a nebulous term for chronic and sometimes debilitating scrotal pain following vasectomy. The syndrome and treatments have been poorly characterized. We report on a single surgeon’s 10-year experience treating patients with vasectomy reversal for chronic post-vasectomy pain.
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Male Infertility Update
Of the 15% of couples having difficulty conceiving, almost half have a male factor as the sole or contributing cause. It is currently recognized that the quality as well as the quantity of sperm greatly influences reproductive outcomes. It was once thought that assisted reproductive technologies (ART) such as Intrauterine Insemination (IUI) and more so, In-Vitro Fertilization with Intracytoplasmic Sperm Injection (ICSI) had the power to overcome almost any sperm defect but data show that this is not true for many patients.
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