REVERSAL OF VASECTOMY AND THE GENERAL SURGEON

Reversal of vasectomy is a difficult procedure. Most surgeons still pe rform a macroscopic vasovasostomy. However, there is a little guidance in the current literature on the results that can be expected from su ch procedures. Patients may therefore be given unrealistic expectation s preoperatively. Our study shows the results of macroscopic reversals of vasectomy performed over a 9-year period. A survey of Welsh surgeo ns is also presented concerning their preferred techniques and estimat ed success rates for reversals. The study clearly shows that a macrosc opic vasovasostomy is the commonest method employed, with a wide varia tion in estimated success rates. Patients considering a macroscopic re versal of vasectomy should be warned of a less than 20% success rate.