[The psychological and physical success of vasectomy reversal].

Forty men who had their vasectomy reversed were psychoanalitically examined. The changes of mind were above all concerned with the results of new relationships, initially no (more) children, then (more) children. The stability of the relationship at the time of vasectomy had been wrongly evaluated which must subsequently influence any advice given. Between 22 and 26 months after the reversal there was a telephone follow-up. Fertilization occurred with 32.1% of the cases, sperm was present in 77.4% (according to the men). The time between vasectomy and reversal was 4.8 years on average, the longest period being 8 years. A fertilization followed even when the anastomosis was only possible in one side in vas deferens area or on both sides in the caput area of the epididymis.