Vasectomy reversal is the most common microsurgical treatment for male infertility; although assisted reproductive technology (ART) is an alternative, it is associated with higher costs without offering higher cumulative chances of a pregnancy. In this Review, Schwarzer and Steinfatt discuss the vasectomy reversal procedure, in terms of patient selection, surgical technique and alternative options, and consider the future directions of this complex procedure.
- J. Ullrich Schwarzer
- Heiko Steinfatt