Robb Paul, Sandlow Jay I
Department of Obstetrics and Gynecology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Urol Clin North Am. 2009 Aug;36(3):391-6. doi: 10.1016/j.ucl.2009.05.003.
In this era of cost-consciousness and containment, it is imperative to examine not only treatment outcomes but also cost of these treatments. With improvements of in vitro fertilization outcome and continued development of less-invasive sperm retrieval methods, physicians and couples must examine all options available after surgical sterilization. Vasectomy reversal remains the gold standard of treatment; however, certain situations may be present in which sperm acquisition/in vitro fertilization may be a better option. A physician's responsibility is to present all options with the pros and cons of each, including cost, to help arrive at an informed decision.
在这个注重成本控制的时代，不仅要检查治疗结果，还要检查这些治疗的成本。随着体外受精结果的改善和微创取精方法的不断发展，医生和夫妇必须检查手术绝育后所有可用的选择。输精管复通术仍然是治疗的金标准；然而，在某些情况下，获取精子/体外受精可能是更好的选择。医生的责任是列出所有选择及其各自的优缺点，包括成本，以帮助做出明智的决定。
