Vasectomy Regret or Lack Thereof.

IF 2 Q3 PSYCHOLOGY, CLINICAL Health Psychology Research Pub Date : 2022-09-15 eCollection Date: 2022-01-01 DOI:10.52965/001c.38241
Danyon J Anderson, Morgan Lucero, Stephen Vining, Charles Daniel, Jamal Hasoon, Omar Viswanath, Alan D Kaye, Ivan Urits
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引用次数: 1

Abstract

Background: Vasectomy is a procedure that results in permanent yet reversible sterility and remains a great contraceptive option for many. Previous research studies have highlighted frequency of vasectomy utilization, defining characteristics of individuals who opt for this method, various surgical techniques, and the risks and benefits associated with the procedure. What remains to be defined is why or why not individuals may experience post-vasectomy regret and whether the previous characteristics correlate.

Objective: The objective of this review is to synthesize information regarding reasons individuals may regret their vasectomy and seek reversal, what options exist for accomplishing the reversal, and patients' fertility prognosis post-vasovasostomy.

Methods: This review utilized a combination of secondary and tertiary data analysis across a wide scope of academic databases pertaining to the topic of interest.

Results: Typically, most males who have sought a vasectomy are satisfied with their decision, however, approximately 6% of this population seeks reversal. Key factors influencing vasectomy regret include age at the time of vasectomy, parental status, pre- and post-operative relationship status, unresolved physical and psychosexual problems, and development of chronic scrotal pain following the procedure. Few options exist for vasectomy reversal including microsurgical reconstructive vasectomy reversal (VR) and sperm extraction for in vitro fertilization. There is no guarantee that fertility will be restored in any case but a major predictive factor for success is the time interval prior to reversal.

Conclusion: Vasectomy is intended to be a permanent form of contraception; however, a minor chance remains that individuals may experience post-operative regret due to various factors. This warrants proper comprehensive counseling by the patient's provider regarding benefits and risks, procedural outcomes, opportunities for reversal, and fertility prognosis.

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输精管结扎后悔或不后悔。
背景:输精管切除术是一种导致永久性但可逆性不孕的手术,对许多人来说仍然是一种很好的避孕选择。先前的研究强调了输精管切除术的使用频率、选择该方法的个体的特征、各种手术技术以及与该手术相关的风险和益处。还有待定义的是,为什么或为什么个体可能会经历输精管切除术后的后悔,以及之前的特征是否相关。目的:本综述的目的是综合有关个体可能后悔输精管切除术并寻求逆转的原因、实现逆转的选择,以及患者血管造口后的生育预后。方法:这篇综述利用了与感兴趣主题相关的广泛学术数据库的二级和三级数据分析相结合的方法。结果:通常,大多数寻求输精管切除术的男性对自己的决定感到满意,然而,大约6%的男性寻求逆转。影响输精管切除术后悔的关键因素包括输精管切除术时的年龄、父母状况、术前和术后的关系状况、未解决的身体和心理性问题,以及术后出现慢性阴囊疼痛。输精管切除术逆转的选择很少,包括显微外科重建输精管切除术(VR)和提取精子进行体外受精。在任何情况下都不能保证生育能力会恢复,但成功的一个主要预测因素是逆转前的时间间隔。结论:输精管切除术是一种永久性避孕方法;然而,由于各种因素,个体可能会经历术后后悔的可能性很小。这就需要患者的提供者就益处和风险、手术结果、逆转机会和生育预后进行适当的全面咨询。
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来源期刊
Health Psychology Research
Health Psychology Research PSYCHOLOGY, CLINICAL-
CiteScore
2.90
自引率
0.00%
发文量
63
审稿时长
15 weeks
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