England and Wales have the highest divorce rate in the EU with 42% of all marriages failing. 5% of men who had a vasectomy request reversal at a later date. The European Association of Urology (EAU) issued the following strong recommendations:
- Microsurgical vasectomy reversal is a low-risk and (cost-) effective method of restoring fertility.
- Surgical Sperm Retrieval (SSR) and ICSI should be reserved for failed vasectomy reversal.
Vasectomy reversal affords up to 90% success rates and natural conception for couples who are not in a hurry.
However, successful pregnancy and life birth rates after vasectomy reversal can be significantly lower for a variety of adverse reasons, even if men had children with the same or other partners:
- poor ovarian reserve in older women
- other female-specific factors e.g. endometriosis or pelvic inflammatory disease
- long obstructive interval between vasectomy and reversal
- male epididymal and sex gland dysfunction
- life style (e.g. smoking, obesity, anabolic steroids)
In these scenarios, SSR and IVF or ICSI might be the only realistic alternative. We believe that men with a poorer prognosis of successful vasectomy reversal should be offered surgical sperm retrieval and freezing as an “insurance policy”, at the time of reversal. This avoids delays and second procedures on the same testicle, although it incurs additional expenses for surgery and sperm storage. We are pleased to announce that this service is available at RHG.
If you would like to contact us to discuss SSR or Vasectomy Reversal, please call us on 01925 202 180 or contact us online here.