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Definition of a European pre-vasectomy scoring system to identify patients at risk of vasectomy regret.
Sex Med
December 2024
Department of Urology, Cliniques Saint-Jean, 1000 Bruxelles, Belgium.
Introduction: Vasectomy is a widely used, safe, effective method of permanent contraception and contributes to healthy sexuality.
Aims: We have conducted a 3-step observational clinical study to develop a vasectomy regret risk score and guide patients and clinicians when discussing a vasectomy.
Methods: A 3-step approach has been followed.
Routine Sperm Cryopreservation before Vasectomy Is Not Cost-Effective and Does Not Increase Live Birth Rates Compared to Surgical Sperm Retrieval or Vasectomy Reversal.
Urology
January 2025
Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH.
Objectives: To determine if routine pre-vasectomy sperm cryopreservation is more cost-effective than fertility restoration for patients who desire additional children following vasectomy?
Methods: A scoping review was performed to collect published data regarding efficacy and outcomes of cryopreservation, vasectomy reversal, surgical sperm retrieval, and assisted reproductive technologies (ART). Cost data were collected from US-based facilities performing cryopreservation and andrology clinical care. A cost-effectiveness model was generated using TreeAge Pro cost-effectiveness modeling software with three different variations representing a balanced scenario with median expected parameter values, a scenario with assumptions/variables favoring pre-vasectomy cryopreservation, and a scenario favoring fertility restoration.
Microsurgical vasectomy reversal: experience of a single center.
Rev Int Androl
December 2024
Urology Department, Hospital Center Vila Nova de Gaia and Espinho, 4405-843 Vila Nova de Gaia, Portugal.
Background: Vasectomy reversal (VR) is the only technique that allows men previously submitted to a vasectomy to conceive by natural pregnancy. We report our experience with microsurgical VR and identify predictive factors of natural pregnancy.
Methods: We retrospectively reviewed all patients submitted to VR by a single surgeon from 2008 to 2021 at our single center.
Determining the Impact of the Reversal of Roe v. Wade on Birth Control and Infertility Trends Using Google Trends.
Cureus
November 2024
Urology, Mayo Clinic, Rochester, USA.
Introduction Overturning Roe v. Wade left many concerned about birth control options and future fertility. This study aims to report Google (Google, Inc.
View Article and Find Full Text PDFObjective: To evaluate the safety and efficacy of prednisone on pregnancy rates and semen concentrations at 1 year after vasectomy reversal.
Design: Randomized, controlled trial (NCT04788823).
Setting: Single medical center specializing in vasectomy reversals.
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