Smartphone App Helps Diagnose Male Infertility Smartphone App Helps Diagnose Male Infertility
A smartphone app that measures sperm count and motility could help assess male fertility, aid vasectomy follow-up care.Medscape Medical News
My fertility journey is not typical. I have not spent years “trying.” In fact, I have spent years trying not to get pregnant! My husband has two daughters — and a vasectomy, so getting pregnant was a known challenge. Luckily, I like challenges. We went to an infertility specialist, who told us that reversal was […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Vasectomy reversal is a technically demanding procedure. Since the introduction of the operating microscope in 1975 for this kind of surgery, there has been an improvement in success rates (1, 2). The use of the operative microscope to achieve greater fertility rates and vas patency after vasovasostomy has become a standard for the microsurgeon who treats male infertility (2). However, this technique requires a great degree of microsurgical training and a skilled surgical assistant. The development of robotic assisted procedures in several surgical fields continues to expand (3 –7).
This study was a retrospective single-center cohort analysis of all males with a vasectomy in the past seeking treatment between 2006 and 2011 (n = 163). One group of patients opted for a reanastomosis procedure while the others opted for an immediate IVF/ICSI treatment. This included 99 males who underwent reanastomosis and 64 couples who immediately underwent ICSI treatment.PARTICIPANTS/MATERIALS, SETTING, METHODSAll reanastomosis procedures were done by the same surgeon. ICSI was used in all cases where testicular sperm were extracted by fine needle aspiration (FNA) or testicular sperm extraction (TESE).MAIN RESULTS AND...
AbstractBACKGROUNDInfection and inflammation of the reproductive tract are significant causes of male factor infertility. Ascending infections caused by sexually transmitted bacteria or urinary tract pathogens represent the most frequent aetiology of epididymo-orchitis, but viral, haematogenous dissemination is also a contributory factor. Limitations in adequate diagnosis and therapy reflect an obvious need for further understanding of human epididymal and testicular immunopathologies and their contribution to infertility. A major obstacle for advancing our knowledge is the limited access to suitable tissue samples. Simila...
In 2012, the American Urological Association published vasectomy guidelines to guide clinicians in best practices. Here we assess practice patterns of post-vasectomy semen analyses (PVSA) in a large, community cohort.
500,000 men in the US undergo vasectomy annually. About 6% will change their mind. 2 options to conceive are vasectomy reversal (VR) or sperm retrieval (SR) with in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI). Often the male partner is only evaluated by a urologist and counseled and treated with a VR without an evaluation or counseling of the female, or the female is evaluated by a reproductive endocrinologist (RE) on the option of IVF/ICSI, and the male partner is referred to a urologist to perform SR for use with IVF/ICSI.
We report the early learning curve results for VR performed by a single surgeon who had a fellowship with extensive MIM training.
The objectives of this study were to review the learning curve, complications and outcomes of the first 80 cases of microsurgical vasectomy reversal performed in a developing country (South Africa).
The microscopic sperm in vasal fluid at time of vasectomy reversal is associated with improved fertility outcomes. Several sperm specific proteins in seminal fluid have been proposed as potential biomarkers of obstructive azoospermia. Our goal was to evaluate sperm specific proteins and microscopic sperm presence in vasal fluid at time of vasectomy reversal.
Hospitals and surgeons are increasing accountable for resource utilization and cost. Specialized microsurgical sutures contribute significantly towards the cost of a vasectomy reversal (VR). Objective: To compare case costs and surgical outcomes following microsurgical vasectomy reversal between two different manufactures of 10-0 microsurgical sutures.