{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:44:35Z","timestamp":1770137075109,"version":"3.49.0"},"reference-count":9,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T00:00:00Z","timestamp":1522627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The purpose of this study was to identify factors which impact a couples\u2019 decision\u2010making between the options of vasectomy reversal vs. sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection when counseled both by a reproductive urologist and a reproductive endocrinologist. A retrospective chart review was performed of couples who wish to achieve a pregnancy with a male partner with a history of prior vasectomy, in a couples\u2019 private fertility center. Of patients presenting for fertility options with a history of vasectomy, 175 couples elected to be counseled by both a reproductive urologist and a reproductive endocrinologist on the options between vasectomy reversal and sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection, with 78.3% of the couples opting for vasectomy reversal and 21.7% opting for sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection. The overall mean age of the male partners was 40.5\u00a0years of age, and the mean age of the female partners was 33. The mean obstructed interval was 9.7\u00a0years. Twenty\u2010three percent of the female partners in couples selecting vasectomy reversal had diminished ovarian reserve, and 31.6% of couples selecting sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection had female partners with diminished ovarian reserve, two of which elected to have donor oocyte in\u00a0vitro fertilization\/intracytoplasmic sperm injection. Male age, female age, and ovarian reserve status did not have significant roles in this decision\u2010making (<jats:italic>p<\/jats:italic> value 0.3578, 0.1185, and 0.3041, respectively); however, a longer obstructed interval since vasectomy was a significant factor associated with couples opting for sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection (0.0238). In this study, the majority of couples who were counseled on vasectomy reversal vs. sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection by a reproductive urologist and reproductive endocrinologist chose vasectomy reversal. Neither male partner age, female partner age, nor ovarian reserve status seemed to impact the decision; however, a longer obstructed interval was a significant factor that was associated with the decision of couples toward sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection rather than vasectomy reversal.<\/jats:p>","DOI":"10.1111\/andr.12491","type":"journal-article","created":{"date-parts":[[2018,4,3]],"date-time":"2018-04-03T05:23:08Z","timestamp":1522732988000},"page":"556-558","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Factors impacting couples\u2019 decision\u2010making between vasectomy reversal versus sperm retrieval\/in\u00a0vitro fertilization\/intracytoplasmic sperm injection"],"prefix":"10.1111","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7390-5837","authenticated-orcid":false,"given":"P. K.","family":"Kavoussi","sequence":"first","affiliation":[{"name":"Austin Fertility&amp; Reproductive Medicine\/Westlake IVF Austin TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. M.","family":"Kavoussi","sequence":"additional","affiliation":[{"name":"Austin Fertility&amp; Reproductive Medicine\/Westlake IVF Austin TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. C.","family":"Odenwald","sequence":"additional","affiliation":[{"name":"Austin Fertility&amp; Reproductive Medicine\/Westlake IVF Austin TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. K.","family":"Kavoussi","sequence":"additional","affiliation":[{"name":"Austin Fertility&amp; Reproductive Medicine\/Westlake IVF Austin TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197303000-00004"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)53988-0"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.humrep.a138779"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2009.05.001"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.08.097"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)64036-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000157318.13975.2a"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1071\/RD9940093"},{"key":"e_1_2_6_10_1","first-page":"586","article-title":"Vas deferens anastomosis: successful repair four years subsequent to bilateral vasectomy","volume":"42","author":"Twyman ED","year":"1938","journal-title":"Urol Cutaneous Rev"}],"container-title":["Andrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fandr.12491","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/andr.12491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T12:25:59Z","timestamp":1694262359000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/andr.12491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,2]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1111\/andr.12491"],"URL":"https:\/\/doi.org\/10.1111\/andr.12491","archive":["Portico"],"relation":{},"ISSN":["2047-2919","2047-2927"],"issn-type":[{"value":"2047-2919","type":"print"},{"value":"2047-2927","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,2]]},"assertion":[{"value":"2018-01-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}