Nagler Harris M, Jung Howard
The Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Avenue, Bronx, NY 10461, USA.
Urol Clin North Am. 2009 Aug;36(3):383-90. doi: 10.1016/j.ucl.2009.05.010.
A man who desires restoration of fertility after vasectomy has two main treatment options for having his genetic child: vasectomy reversal or sperm extraction with subsequent in vitro fertilization with intracytoplasmic sperm injection. Microsurgical reconstructive techniques and their widespread availability have made vasectomy reversal a realistic option for many couples; however, vasectomy reversal outcomes are varied because there are many factors that alter the chance of success. Some of these factors become known preoperatively, whereas others can only be ascertained at the time of surgery. Intraoperatively, the urologist must identify factors and understand how they will affect the decision to proceed. This article systematically reviews each of these phases of decision-making and management.
输精管结扎术后希望恢复生育能力的男性，若想拥有自己的亲生孩子，有两种主要治疗选择：输精管复通术或取精后行卵胞浆内单精子注射体外受精。显微外科重建技术及其广泛应用，使输精管复通术成为许多夫妇的现实选择；然而，输精管复通术的结果各不相同，因为有许多因素会改变成功的几率。其中一些因素在术前已知，而其他因素只能在手术时确定。术中，泌尿外科医生必须识别这些因素，并了解它们将如何影响手术决策。本文系统回顾了决策和管理的每个阶段。
