In spite of the fact that vasectomy is currently the most commonly
utilized form of male contraception and it has been in use for more
than 50 years, very little has been written regarding standards of
practice, procedure, and follow up. This issue addresses these
issues in such a way to allow the reader to evaluate what works
best for their individual practice utilizing evidence-based
medicine when it exists. It is not surprising in a society with a
divorce rate of aproximately 50 % and an excess of 500,000
vasectomies per annum, that there is demand for vasectomy reversal.
Approximately 6% of vasectomies are reversed. Although the most
common indication for vasectomy reversal is remarriage, there are
other indications. This issue addresses issues that are of concern
when reversal is discussed with the patient seeking to restore his
fertility.
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