Sperm extraction after a vasectomy


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Can sperm be extracted from testicles after a vasectomy

Actual treatment charges, complication rates, and pregnancy and delivery rates obtained in the United States were used for cost per delivery analysis. Setting: Men with postvasectomy infertility, evaluated and treated at centers with experience in vasectomy reversal or sperm retrieval and ICSI. Intervention s : Initial microsurgical vasectomy reversal was compared with retrieved epididymal or testicular sperm. PESA and TESE retrieval rates were noted, as were the time since vasectomy and the interval between vasectomy and unsuccessful reversal. Unless microsurgical epididymal sperm aspiration results improve dramatically or ICSI procedural costs and multiple gestation rates decrease, vasectomy reversal will remain the indicated treatment for men interested in fertility restoration after vasectomy. Abstract Objective: To evaluate cost per delivery using two different initial approaches to the treatment of postvasectomy infertility.
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Can sperm be extracted from testicles after a vasectomy – JHOYA

Main outcome measure s : Cost per delivery, delivery rates. Objective: To investigate the effect of the interval between previous vasectomy reversal on retrieval rates of epididymal and testicular spermatozoa using percutaneous epididymal sperm aspiration PESA , or testicular sperm extraction TESE , and the subsequent reproductive potential of these gametes in intracytoplasmic sperm injection ICSI cycles. This treatment also has the highest chance of resulting in delivery of a child for a single intervention. The data for the models on average postvasectomy infertility costs were derived from 6 specialized medical centers in the US in ; only men with female partners 39 years or younger were included.
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Fertility options after vasectomy: a cost-effectiveness analysis

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Description: The data for the models on average postvasectomy infertility costs were derived from 6 specialized medical centers in the US in ; only men with female partners 39 years or younger were included. Unless microsurgical epididymal sperm aspiration results improve dramatically or ICSI procedural costs and multiple gestation rates decrease, vasectomy reversal will remain the indicated treatment for men interested in fertility restoration after vasectomy. PIP: Calculations of cost per delivery for vasectomy reversal versus sperm retrieval-intracytoplasmic sperm injection ICSI under a wide variety of initial assumptions clearly indicate that vasectomy reversal is associated with lower costs per delivery and higher delivery rates. Setting: Men with postvasectomy infertility, evaluated and treated at centers with experience in vasectomy reversal or sperm retrieval and ICSI.

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Views: 2613 Date: 29.01.2020 Favorited: 5 favorites

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