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Vasal repair, including vasovasostomy (<jats:styled-content style=\"fixed-case\">VV<\/jats:styled-content>) and vasoepididymostomy (<jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content>), is the only option that leads to natural conception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This article reviews the surgical techniques, outcomes, and predictors of postoperative patency and pregnancy, with a focus on articles that have reported over the last 10\u00a0years, using PubMed database searches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main findings<\/jats:title><jats:p>The reported mean patency rate was 87% and the mean pregnancy rate was 49% for a patient following microscopic<jats:styled-content style=\"fixed-case\">VV<\/jats:styled-content>and\/or<jats:styled-content style=\"fixed-case\">VE<\/jats:styled-content>for vasectomy reversal. Recently, robot\u2010assisted techniques were introduced and have achieved a high rate of success. The predictors and predictive models of postoperative patency and pregnancy also have been reported. The obstructive interval, presence of a granuloma, and intraoperative sperm findings predict postoperative patency. These factors also predict postoperative fertility. In addition, the female partner's age and the same female partner correlate with pregnancy after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In the era of<jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>, the physician should present and discuss with both the patient with<jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>and his partner the most appropriate procedure to conceive by using these predictors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rmb2.12207","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T11:16:22Z","timestamp":1526987782000},"page":"343-355","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Vasovasostomy and vasoepididymostomy: Review of the procedures, outcomes, and predictors of patency and pregnancy over the last 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