Factors to consider for informed consent prior to vasectomy reversal

• 来源期刊: 亚洲男性学杂志（英文版）
• 年，卷（期）: 2016,（3）
• 页码范围: 372
• 页数: 1页
• 语种: 中文
• DOI: 10.4103/1008-682X.179156

摘要

The manuscript by Drs.Patel and Smith1 presents an excellent summary on the preoperative work up for patients undergoing vasectomy reversal (VR),and describs factors that help predict success such as surgeon skill/experience,shorter obstructive interval,a partner's positive fertility history and younger female age.2,3 While intraoperative decision-making is discussed in the text,it is important to ask why,with all the research available,do some physicians still feel comfortable only offering a vasovasostomy (VV),irrespective of the microscopic characteristics of the vasal effluent.Driven by the increased difficulty of performing a vasoepididymostomy (VE),patients are still done a disservice by not being offered the options of both procedures.Although the introduction of the operative microscope has significantly improved patency rates with VR,a small minority of physicians still routinely offers macroscopic reconstruction.All these issues should be discussed preoperatively and informed consent should be obtained during the initial patient consultation.