European countries have different rates of sperm cryopreservation before vasectomy and at the time of reversal

Amandine Degraeve; Thierry Roumeguère; Gilles Tilmans; Marie‐Laura Marotta; Eric Huyghe; Georges Fournier; Antoine Faix; Anne‐Françoise Spinoit; Karel Decaestecker; François Herve; Florence Boitrelle; Kanerva Lahdensuo; Julien Van damme

doi:10.1111/andr.13182

journal article Sep 15, 2022

European countries have different rates of sperm cryopreservation before vasectomy and at the time of reversal

Amandine Degraeve

Thierry Roumeguère

Gilles Tilmans Marie‐Laura Marotta Eric Huyghe Georges Fournier Antoine Faix Anne‐Françoise Spinoit Karel Decaestecker François Herve Florence Boitrelle

Kanerva Lahdensuo Julien Van damme

Andrology Vol. 10 No. 7 pp. 1286-1291 · Wiley

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Abstract

AbstractIntroductionEffective male contraceptive options are condoms and vasectomy. Vasectomy should not be considered a reversible method of contraception even if vasovasostomy can be offered to men to restore fertility after vasectomy. Therefore, there is a real questioning among urologists concerning cryopreservation before vasectomy. We carried out an international survey concerning the practice of cryopreservation before vasectomy and during vasovasostomy.Material and methodsAn online anonymous survey was submitted from January to June 2021 to six European urological societies. The 31‐items questionnaire included questions about demography, habits of cryopreservation before vasectomy or during vasectomy reversal, and in case of urogenital cancers.Results228 urologists from six urological societies in five different countries (Belgium, Netherlands, Luxembourg, France, Finland) answered the questionnaire. French urologists were more in favor of cryopreservation before vasectomy than other European urologists (p < 0.0001). They also significantly found that not talking about cryopreservation before vasectomy is a medical fault unlike other urologists (p < 0.0001). The specialization in andrology did not influence the choice of cryopreservation before vasectomy (p = 0.9452). The majority of urologists did not perform intraoperative sperm extraction during vasovasostomy (81%; n = 127) with a significant difference between urologists with or without andrology training (p = 0.0146). Success rates after vasovasostomy are significantly better for robot‐assisted surgery (p = 0.0159) or with a microscope (p = 0.0456) versus without a microscope.ConclusionCryopreservation before definitive sterilization significantly varies among European urologists and seems to be mostly dictated by habits than by knowledge. An international consensus is needed to standardize practices and guide patients’ choices.

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Details

Published: Sep 15, 2022
Vol/Issue: 10(7)
Pages: 1286-1291
License: View

Authors

A

Amandine Degraeve

Department of Urology Centre Hospitalier Universitaire Université Catholique de Louvain Namur Belgium

T

Thierry Roumeguère

Department of Urology University Clinics Brussels Erasme Hospital Université Libre de Bruxelles Brussels Belgium

G

Gilles Tilmans

Unit of Abdominal Surgery Saint‐Luc University Clinics Université Catholique de Louvain Brussels Belgium

M

Marie‐Laura Marotta

Department of Andrology Centre Hospitalier Universitaire Université Catholique de Louvain Namur Belgium

E

Eric Huyghe

Department of Urology – Kidney transplantation – Andrology – Rangueil Hopital Centre Hospitalier Universitaire de Toulouse Toulouse France; Department of Reproductive Medicine Paule de Viguier Hospital Centre Hospitalier Universitaire de Toulouse Toulouse France; UMR 1203, DEFE (Development – Embryo – Fertility – Environment), INSERM, Université de Toulouse – Université de Montpellier Toulouse France

G

Georges Fournier

Department of Urology University of Brest Brest France

A

Antoine Faix

Department of Urology Clinique Beau Soleil Montpellier France

A

Anne‐Françoise Spinoit

Department of Urology Ghent University Hopsital Ghent Belgium

K

Karel Decaestecker

Department of Urology Ghent University Hopsital Ghent Belgium

F

François Herve

Department of Urology Ghent University Hopsital Ghent Belgium; Department of Urology Cliniques Universitaires Saint‐Luc Bruxelles Belgium

F

Florence Boitrelle

Reproductive Biology Fertility Preservation Andrology CECOS Poissy Hospital Poissy France; UVSQ INRAE BREED Paris Saclay University Jouy‐en‐Josas France

K

Kanerva Lahdensuo

Department of Urology and Research Program in Systems Oncology University of Helsinki and Helsinki University Hospital Helsinki Finland

J

Julien Van damme

Department of Urology Centre Hospitalier Universitaire Université Catholique de Louvain Namur Belgium

Cite This Article

Amandine Degraeve, Thierry Roumeguère, Gilles Tilmans, et al. (2022). European countries have different rates of sperm cryopreservation before vasectomy and at the time of reversal. Andrology, 10(7), 1286-1291. https://doi.org/10.1111/andr.13182

European countries have different rates of sperm cryopreservation before vasectomy and at the time of reversal

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