Early Vasectomy Reversal Experience and Outcomes of
This presentation is the property of its rightful owner.
Sponsored Links
1 / 1

Early Vasectomy Reversal Experience and Outcomes of Fellowship-Trained Microsurgeons PowerPoint PPT Presentation


  • 54 Views
  • Uploaded on
  • Presentation posted in: General

Early Vasectomy Reversal Experience and Outcomes of Fellowship-Trained Microsurgeons Daniel H Williams IV, Edward Karpman, Ethan D Grober, Christopher G Schrepferman, Donald S Crain, Weber W Chuang, David Shin, Mohit Khera, Wayne Kuang, Cigdem Tanrikut. AUA Annual Meeting

Download Presentation

Early Vasectomy Reversal Experience and Outcomes of Fellowship-Trained Microsurgeons

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Early vasectomy reversal experience and outcomes of fellowship trained microsurgeons

Early Vasectomy Reversal Experience and Outcomes of

Fellowship-Trained Microsurgeons

Daniel H Williams IV, Edward Karpman, Ethan D Grober, Christopher G Schrepferman, Donald S Crain,

Weber W Chuang, David Shin, Mohit Khera, Wayne Kuang, Cigdem Tanrikut

AUA Annual Meeting

April 2009, Chicago, IL

Poster #2011

  • Methods

  • Patient records from the first two years of clinical practice were retrospectively reviewed.

  • The following data points were recorded for each microsurgeon:

    • Number of vasectomy reversals

    • Type of reversal performed

    • Post-operative semen parameters (if available)

  • Each urologist had completed a minimum one-year clinical fellowship in male reproductive medicine and microsurgery.

  • Introduction

  • Surgical volume and experience have been shown to correlate with favorable post-operative outcomes in a variety of surgical specialties and in urological surgery.1,2

  • Newly-graduated surgical trainees lack such years of independent experience.

  • However, it is unknown to what extent this inexperience affects their early surgical outcomes (given previous sound surgical training).

  • Results

  • In their first 2 years of practice, 10 microsurgeons performed 310 microsurgical vasectomy reversals (range 1-75).

  • 221 bilateral vasovasostomies (VV)

  • 59 unilateral vasovasostomy with unilateral epididymovasostomy (VV/EV)

  • 30 bilateral epididymovasostomies (EV)

  • Post-operative semen analyses were available for 236 (76.1%) patients.

  • The overall patency rate was 90.7% (214 of 236). Patency rates for VV, VV/EV, and EV were 96%, 87.5%, and 54%, respectively.

Conclusions

Overall, vasectomy reversal patency rates in this study are consistent with those reported by experienced urologists performing microsurgical vasectomy reversals (VV 87%, VV/EV 70%, EV 50%).3

Recent completion of fellowship training by microsurgeons in this group did not seem to have a negative impact on vasectomy reversal patency rates.

These findings highlight the importance of good microsurgical training prior to independent clinical practice.

  • Objective

  • The primary objective of this study was to evaluate early vasectomy reversal experience and outcomes of fellowship-trained microsurgeons in their first two years of clinical practice.

  • Limitations

  • Relatively small sample size

  • Individual surgical techniques may influence outcomes

  • Short-term follow-up without pregnancy data

  • References

  • Hellawell et al. Urology 2008; 72(6): 1347-50

  • Rosser et al. Cancer 2006; 107: 54-59

  • Belker et al. J Urol 1991; 145: 505-511

3

  • Sources of Funding

  • None


  • Login