Challenges in completing a successful vasectomy reversal

Juan J. Andino, Daniel C. Gonzalez, James M. Dupree, Sheldon Marks, Ranjith Ramasamy

Research output: Contribution to journalArticlepeer-review


Although a wide array of interventions exist for men seeking fertility after vasectomy, up to 6% of them will elect for a vasectomy reversal. While the widespread adoption of telemedicine promises convenience and improved access, lack of ability to do a physical examination may hinder appropriate counselling. Although vasectomy reversal is successfully completed in most of the men either with a vasovasostomy or a vasoepididymostomy, there could be various reasons for the inability to successfully complete the operation. Our commentary outlines the reasons why a vasectomy reversal is not possible or successful. We also discuss a pre-operative management algorithm in men seeking vasectomy reversal to ensure appropriate counselling with a thorough pre-operative history, physical examination and on occasion, hormonal evaluation.

Original languageEnglish (US)
Article numbere14066
Issue number6
StatePublished - Jul 2021


  • male infertility
  • microsurgery
  • vasectomy reversal
  • vasovasostomy

ASJC Scopus subject areas

  • Endocrinology
  • Urology


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