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Titolo:
Should vasectomy reversal be performed in men with older female partners?
Autore:
Deck, AJ; Berger, RE;
Indirizzi:
Univ Washington, Med Ctr, Dept Urol, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 tr, Dept Urol, Seattle, WA 98195 USA
Titolo Testata:
JOURNAL OF UROLOGY
fascicolo: 1, volume: 163, anno: 2000,
pagine: 105 - 106
SICI:
0022-5347(200001)163:1<105:SVRBPI>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRACYTOPLASMIC SPERM INJECTION; MALE FACTOR INFERTILITY; PREGNANCY RATE; FERTILIZATION; AGE; AZOOSPERMIA; COUPLES; FORMS;
Keywords:
vasovasostomy; fertilization in vitro;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Deck, AJ Univ Washington, Med Ctr, Dept Urol, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 Urol, Seattle, WA 98195 USA
Citazione:
A.J. Deck e R.E. Berger, "Should vasectomy reversal be performed in men with older female partners?", J UROL, 163(1), 2000, pp. 105-106

Abstract

Purpose: An assumption exists that men with older female partners who seektreatment of post-vasectomy infertility should undergo in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) rather than vasectomy reversal, Although several studies have reviewed ICSI success rates with advancing maternal age, to our knowledge none has compared them to outcomesfor vasectomy reversal in men with older partners. Materials and Methods: The records of all patients with ovulating partnersolder than 37 years who underwent vasectomy reversal from 1994 through 1998 were reviewed. Patients were contacted to establish pregnancy and birth rates. Costs of vasectomy reversal, testicular sperm extraction, IVF and ICSI were obtained from the financial office of our institution. Results: A total of 29 patients underwent vasectomy reversal with a followup of 3 to 59 months (median 25). Median male age was 46 years (range 37 to67) and median female age was 40 years (range 38 to 48), A total of 5 pregnancies and 4 live births were achieved, In the 23 patients followed for more than 1 year the pregnancy rate was 22% and live birth rate was 17%. Using this 17% birth rate at our $4,850 cost for vasectomy reversal the cost per newborn was $28,530, In comparison, using the 8% birth rate per cycle of ICSI for women older than 36 years at a cost of $8,315 for testicular spermextraction and 1 cycle of IVF with ICSI, the cost per newborn was estimated at $103,940. Conclusions: Vasectomy reversal appears to be cost-effective to achieve fertility in men with ovulating partners older than 37 years.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/10/20 alle ore 09:39:48