The Journal of Urology
Volume 187, Issue 2 , Pages 607-612 , February 2012

Nomograms to Predict Patency After Microsurgical Vasectomy Reversal

  • Wayland Hsiao

      Affiliations

    • Department of Urology and Institute for Reproductive Medicine, Weill Cornell Medical College, New York, New York
    • Population Council Center for Biomedical Research, New York, New York
    • Supported by a grant from the Frederick J. and Theresa Dow Wallace Fund of the New York Community Trust.
  • ,
  • Marc Goldstein

      Affiliations

    • Department of Urology and Institute for Reproductive Medicine, Weill Cornell Medical College, New York, New York
    • Population Council Center for Biomedical Research, New York, New York
    • Corresponding Author InformationCorrespondence: 525 E. 68th St., Box 580, New York, New York 10065
    • Financial interest and/or other relationship with Theralogix.
  • ,
  • James S. Rosoff

      Affiliations

    • Department of Urology and Institute for Reproductive Medicine, Weill Cornell Medical College, New York, New York
  • ,
  • Annalisa Piccorelli

      Affiliations

    • Department of Quantitative Health Sciences, the Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Michael W. Kattan

      Affiliations

    • Department of Quantitative Health Sciences, the Cleveland Clinic Foundation, Cleveland, Ohio
  • ,
  • Eleni A. Greenwood

      Affiliations

    • Department of Urology and Institute for Reproductive Medicine, Weill Cornell Medical College, New York, New York
  • ,
  • John P. Mulhall

      Affiliations

    • Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York

Received 2 June 2011

References 

  1. Thonneau P , Marchand S , Tallec A , et al.  Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989) . Hum Reprod . 1991;6:811
  2. Pile JM , Barone MA . Demographics of vasectomy–USA and international . Urol Clin North Am . 2009;36:295
  3. Sandlow JI , Nagler HM . Vasectomy and vasectomy reversal: important issues (Preface) . Urol Clin North Am . 2009;36:xiii
  4. Belker AM , Thomas AJ , Fuchs EF , et al.  Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group . J Urol . 1991;145:505
  5. Goldstein M , Li PS , Matthews GJ . Microsurgical vasovasostomy: the microdot technique of precision suture placement . J Urol . 1998;159:188
  6. Schiff J , Chan P , Li PS , et al.  Outcome and late failures compared in 4 techniques of microsurgical vasoepididymostomy in 153 consecutive men . J Urol . 2005;174:651
  7. Chan PT , Brandell RA , Goldstein M . Prospective analysis of outcomes after microsurgical intussusception vasoepididymostomy . BJU Int . 2005;96:598
  8. Boorjian S , Lipkin M , Goldstein M . The impact of obstructive interval and sperm granuloma on outcome of vasectomy reversal . J Urol . 2004;171:304
  9. Schlegel PN , Goldstein M . Microsurgical vasoepididymostomy: refinements and results . J Urol . 1993;150:1165
  10. Harrell FE , Lee KL , Mark DB . Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors . Stat Med . 1996;15:361
  11. Hanley JA , McNeil BJ . The meaning and use of the area under a receiver operating characteristic (ROC) curve . Radiology . 1982;143:29
  12. Efron B , Tibshirani R . An Introduction to the Bootstrap . New York: Chapman & Hall; 1993;
  13. Parekattil SJ , Kuang W , Agarwal A , et al.  Model to predict if a vasoepididymostomy will be required for vasectomy reversal . J Urol . 2005;173:1681
  14. Parekattil SJ , Kuang W , Kolettis PN , et al.  Multi-institutional validation of vasectomy reversal predictor . J Urol . 2006;175:247
  15. Kavoussi PK , Bird ET . Validation of a vasoepididymostomy predictor model: is vasoepididymostomy truly predictable preoperatively? . Fertil Steril . 2009;92:180
  16. Yang G , Walsh TJ , Shefi S , et al.  The kinetics of the return of motile sperm to the ejaculate after vasectomy reversal . J Urol . 2007;177:2272
  17. Matthews GJ , Schlegel PN , Goldstein M . Patency following microsurgical vasoepididymostomy and vasovasostomy: temporal considerations . J Urol . 1995;154:2070
  18. Wysock JS , Schwartz MJ , Goldstein M . Hydroceles associated with varicoceles: incidence and mathematical model of their insulating effects . J Urol . 2009;181(suppl.):684; abstract 1895
  19. Belker AM , Fuchs EF , Konnak JW , et al.  Transient fertility after vasovasostomy in 892 patients . J Urol . 1985;134:75
  20. Kolettis PN , Sabanegh ES , D'Amico AM , et al.  Outcomes for vasectomy reversal performed after obstructive intervals of at least 10 years . Urology . 2002;60:885
  21. Kim ED , Winkel E , Orejuela F , et al.  Pathological epididymal obstruction unrelated to vasectomy: results with microsurgical reconstruction . J Urol . 1998;160:2078
  22. Jarow JP , Sigman M , Buch JP , et al.  Delayed appearance of sperm after end-to-side vasoepididymostomy . J Urol . 1995;153:1156
  23. Kolettis PN , Fretz P , Burns JR , et al.  Secondary azoospermia after vasovasostomy . Urology . 2005;65:968

 Study received institutional review board approval.

 See Editorial on page 385.

PII: S0022-5347(11)05288-8

doi: 10.1016/j.juro.2011.10.044

The Journal of Urology
Volume 187, Issue 2 , Pages 607-612 , February 2012