The need for further reproductive medical advice after vasectomy reversal

The aim of this study was to determine the motivation of patients (n = 73) who had undergone microsurgical refertilization for further treatment (assi sted reproduction) and the demand for medical counseling. By an interview, 57/73 patients could be evaluated for motivation, further demand for medica l counseling, and the postoperative outcome (patency rate). In all, 60% of the patients who failed the treatment and 33% with a patent anastomosis men tioned interest for further counseling, especially for assisted reproductio n. The satisfaction rate after the refertilization was nearly identical in the two groups (67%/64%). Following microscopical vasovasostomies the paten cy was 92%, which was significantly different from that observed after macr oscopical refertilization (55%). In conclusion, the standard for refertiliz ation is the microsurgical technique. Furthermore, there is a strong need f or counseling that involves urological-andrological advice given by the sam e work group, including advisement on the techniques of assisted reproducti on that might be necessary following the operative treatment.