Mini-incision vasectomy reversal using no-scalpel vasectomy principles: efficacy and XXXX compared with traditional approaches to vasectomy reversal.

@entity1 @entity282 @entity158
OBJECTIVES: To evaluate the efficacy and postoperative morbidity of a mini-incision vasectomy reversal (MIVR) using no-scalpel vasectomy principles compared with traditional incisional approaches to vasectomy reversal (VR). METHODS: Of 164 @entity1 undergoing consecutive VR, 139 underwent bilateral vasovasostomy (55% bilateral MIVR, 24% mixed MIVR/traditional incision VR, and 21% bilateral traditional incision VR). The MIVRs were performed using a subcentimeter incision after the vas deferens was captured and delivered through the skin using the no-scalpel vasectomy principles and instruments. Semen analyses were obtained at 3-month intervals postoperatively until pregnancy was achieved. Motile sperm in the ejaculate after VR defined patency. @entity158 and functional recovery after surgery were evaluated using a previously validated 10-point @entity158 scale adapted to VR. The no-scalpel vasectomy @entity1 served as controls for the @entity282 assessments. RESULTS: The median follow-up was 11.6 months. The patency rate was 96%, 100%, and 91% for the MIVR, mixed MIVR/traditional incision, and bilateral traditional incision VR, respectively (P = .4). The semen parameters did not significantly differ among the VR approaches. The @entity158 severity during the first 48 hours after surgery was significantly less (P < .05) for the @entity1 who had undergone bilateral MIVR than for the @entity1 who had undergone traditional incision VR and did not significantly differ from that of the @entity1 who had undergone no-scalpel vasectomy. The @entity1 returned to normal activities an average of 2 days earlier after MIVR than after traditional incision VR. CONCLUSIONS: The results of our study have shown that MIVR does not compromise patency outcomes or semen parameters compared with more traditional approaches to VR and results in @entity158 during the early period of recovery after surgery and quicker functional recovery.
